CULLMAN COUNTY MEDICAL CLINIC INC NPI 1609879220

NPI Information

NPI: 1609879220
Provider Name: CULLMAN COUNTY MEDICAL CLINIC INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1910 CHEROKEE AVE SW
CULLMAN, AL
ZIP 35055
Phone: (256) 739-3500
Get Directions

CULLMAN COUNTY MEDICAL CLINIC INC is a family medicine in Cullman, 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. CULLMAN COUNTY MEDICAL CLINIC INC NPI is 1609879220. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1910 CHEROKEE AVE SW
CULLMAN, AL
ZIP 35055-502
Phone: (256) 739-3500
Fax: (256) 736-1093

The provider's authorized official is Shana Jochum Hice .
The authorized official title is Director, Physician Practices and has the following contact phone number (256) 736-5328.

The enumeration date for this NPI number is 5/27/2005 and was last updated on 8/4/2008.

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	Primary
1	207L00000X	Anesthesiology		No
2	367500000X	Nurse Anesthetist, Certified Registered		No
3	207R00000X	Internal Medicine		No
4	2084A0401X	Psychiatry & Neurology	Addiction Medicine	No
5	208M00000X	Hospitalist		No
6	207Q00000X	Family Medicine		Yes

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
1	I874	MEDICARE PIN	ALABAMA
2	I458	MEDICARE PIN	ALABAMA
3	529907580	MEDICAID	ALABAMA
4	J690	MEDICARE PIN	ALABAMA

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: 5/5/2024

NPI Synchronization or Removal

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