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WIREGRASS MEDICAL CENTER NPI 1629338223


NPI Information

NPI: 1629338223
Provider Name: WIREGRASS MEDICAL CENTER
Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
1200 W. MAPLE AVE
PHARMACY DEPT.
GENEVA, AL
ZIP 36340
Phone: (334) 684-3655
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WIREGRASS MEDICAL CENTER is a clinic pharmacy pharmacy in Geneva, AL. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. WIREGRASS MEDICAL CENTER NPI is 1629338223. The provider is registered as an organization entity type.

The provider's business location address is:

1200 W. MAPLE AVE
PHARMACY DEPT.
GENEVA, AL
ZIP 36340
Phone: (334) 684-3655
Fax: (334) 684-1294

The provider's authorized official is George Michael Cleveland .
The authorized official title is Pharmacy Director and has the following contact phone number (334) 684-3655.

The enumeration date for this NPI number is 5/17/2012 and was last updated on 5/17/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0002XPharmacyClinic PharmacyYes

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
1010062MEDICARE UPINALABAMA
2HOS0062HMEDICAIDALABAMA

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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