PROGRESSIVEHEALTH LLC NPI 1639530835

NPI Information

NPI: 1639530835
Provider Name: PROGRESSIVEHEALTH, LLC
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 01D2113632

Address:
700 HYUNDAI BLVD
MONTGOMERY, AL
ZIP 36105
Phone: (334) 387-4000
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PROGRESSIVEHEALTH, LLC is an occupational medicine clinic center in Montgomery, AL. PROGRESSIVEHEALTH, LLC NPI is 1639530835. The provider is registered as an organization entity type.

The provider's business location address is:

700 HYUNDAI BLVD
MONTGOMERY, AL
ZIP 36105-622
Phone: (334) 387-4000

The provider's authorized official is Keith Bersch .
The authorized official title is Owner and has the following contact phone number (812) 491-3856.

The CLIA number assigned to this NPI record is 01D2113632 - other - employer based clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2016 and was last updated on 3/15/2016.

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
1	261QX0100X	Clinic/Center	Occupational Medicine			Yes

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

NPI Synchronization or Removal

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