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HENDERSON AND DARNELL ASSOCIATES NPI 1578644324

NPI Profile

NPI: 1578644324
Provider Name: HENDERSON AND DARNELL ASSOCIATES

Other Name: LAKESHORE FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 01D0303729

Address:
2308 HOMER CLAYTON DR
GUNTERSVILLE, AL
ZIP 35976
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Phone: (256) 582-2581

HENDERSON AND DARNELL ASSOCIATES is a family medicine in Guntersville, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HENDERSON AND DARNELL ASSOCIATES NPI is 1578644324. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Lakeshore Family Practice.

The provider's business location address is:

2308 HOMER CLAYTON DR
GUNTERSVILLE, AL
ZIP 35976-206
Phone: (256) 582-2581
Fax: (256) 582-7799

The provider's authorized official is Deanna Paige Allen .
The authorized official title is Office Manager and has the following contact phone number (256) 582-2581.

The CLIA number assigned to this NPI record is 01D0303729 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/18/2006 and was last updated on 12/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D261MEDICARE ID-TYPE UNSPECIFIEDALABAMAMEDICARE GROUP ID
2528701550MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/24/2020

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