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ALABAMA HEAD AND NECK CLINIC NPI 1629089701


NPI Information

NPI: 1629089701
Provider Name: ALABAMA HEAD AND NECK CLINIC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 01D2180270

Address:
730 MEMORIAL DR
SUITE 108
BESSEMER, AL
ZIP 35022
Phone: (205) 424-1450
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ALABAMA HEAD AND NECK CLINIC is a specialist in Bessemer, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ALABAMA HEAD AND NECK CLINIC NPI is 1629089701. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

730 MEMORIAL DR
SUITE 108
BESSEMER, AL
ZIP 35022-032
Phone: (205) 424-1450
Fax: (205) 424-6077

The provider's authorized official is Jorge Alberto Caceres .
The authorized official title is President / Physician and has the following contact phone number (205) 424-1450.

The CLIA number assigned to this NPI record is 01D2180270 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 6/9/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1231H00000XAudiologist572-AALABAMANo
2174400000XSpecialistYes

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
1K930MEDICARE PINALABAMA
2528200800MEDICAIDALABAMA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.