HEALTHSOURCE OF HUNTSVILLE LLC NPI 1609209253

NPI Information

  • NPI: 1609209253
  • Provider Name: HEALTHSOURCE OF HUNTSVILLE, LLC
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Address: 930 BOB WALLACE AVE SW STE 225
    HUNTSVILLE, AL
    ZIP 35801
  • Phone: (256) 964-6678

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NPI Details

HEALTHSOURCE OF HUNTSVILLE, LLC is a preferred provider organization in Huntsville, AL. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. HEALTHSOURCE OF HUNTSVILLE, LLC NPI is 1609209253. The provider is registered as an organization entity type.

The provider's business location address is:

930 BOB WALLACE AVE SW STE 225
HUNTSVILLE, AL
ZIP 35801-644
Phone: (256) 964-6678
Fax: (256) 964-6660

The provider's authorized official is Sarah S Jacobs .
The authorized official title is Managing Member and has the following contact phone number (256) 929-3918.

The enumeration date for this NPI number is 8/19/2013 and was last updated on 11/3/2022.

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
1305R00000XPreferred Provider Organization2227ALABAMAYes

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
11417146143OTHERALABAMAINDIVIDUAL NPI

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: 3/30/2025

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