VALLEY HEAD CLINIC LLC NPI 1679827497

NPI Information

  • NPI: 1679827497
  • Provider Name: VALLEY HEAD CLINIC LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: PISGAH MEDICAL CLINIC
  • CLIA Number: 01D0857036
  • Address: 6110 COUNTY ROAD 88
    PISGAH, AL
    ZIP 35765
  • Phone: (256) 451-1250

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NPI Details

VALLEY HEAD CLINIC LLC is a multi-specialty clinic center in Pisgah, AL. VALLEY HEAD CLINIC LLC NPI is 1679827497. The provider is registered as an organization entity type.
The provider Is Doing Business As Pisgah Medical Clinic.

The provider's business location address is:

6110 COUNTY ROAD 88
PISGAH, AL
ZIP 35765
Phone: (256) 451-1250
Fax: (256) 451-1270

The provider's authorized official is Muhammad Ejaz Ata .
The authorized official title is Owner and has the following contact phone number (256) 451-1250.

The CLIA number assigned to this NPI record is 01D0857036 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2012 and was last updated on 10/17/2024.

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
1261QM1300XClinic/CenterMulti-SpecialtyYes
2261QR1300XClinic/CenterRural HealthNo

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: 11/21/2025

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