TUSCALOOSA MEDCENTER SOUTH LLC NPI 1689689481

NPI Information

  • NPI: 1689689481
  • Provider Name: TUSCALOOSA MEDCENTER SOUTH, LLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • CLIA Number: 01D0995435
  • Address: 5005 OSCAR BAXTER DR
    TUSCALOOSA, AL
    ZIP 35405
  • Phone: (205) 343-2225

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NPI Details

TUSCALOOSA MEDCENTER SOUTH, LLC is an urgent care clinic center in Tuscaloosa, AL. TUSCALOOSA MEDCENTER SOUTH, LLC NPI is 1689689481. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5005 OSCAR BAXTER DR
TUSCALOOSA, AL
ZIP 35405-698
Phone: (205) 343-2225
Fax: (205) 343-2230

The provider's authorized official is Beth Kohn .
The authorized official title is Credentialing Specialist and has the following contact phone number (912) 756-2273.

The CLIA number assigned to this NPI record is 01D0995435 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 12/19/2024.

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
1207Q00000XFamily MedicineNo
2261QU0200XClinic/CenterUrgent CareYes

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 Other Provider Identifier Issuer
1CJ7234OTHERALABAMARAILROAD MEDICARE

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: 3/30/2025

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