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HAZEL GREEN FAMILY PRACTICE NPI 1598877284


NPI Information

NPI: 1598877284
Provider Name: HAZEL GREEN FAMILY PRACTICE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 01D0999283

Address:
12801 HIGHWAY 231/431
HAZEL GREEN, AL
ZIP 35750
Phone: (256) 828-6720
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HAZEL GREEN FAMILY PRACTICE is a family medicine in Hazel Green, 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. HAZEL GREEN FAMILY PRACTICE NPI is 1598877284. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12801 HIGHWAY 231/431
HAZEL GREEN, AL
ZIP 35750
Phone: (256) 828-6720
Fax: (256) 828-7230

The provider's authorized official is Bobby James Newbell .
The authorized official title is Ceo and has the following contact phone number (256) 828-6720.

The CLIA number assigned to this NPI record is 01D0999283 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine22921ALABAMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
151507428OTHERALABAMABLUE CROSS BLUE SHIELD

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: 4/28/2024

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