EASTERN SHORE CARE SERVICES NPI 1699068783

NPI Information

  • NPI: 1699068783
  • Provider Name: EASTERN SHORE CARE SERVICES
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 01D2109847
  • Address: 411 N SECTION ST
    FAIRHOPE, AL
    ZIP 36532
  • Phone: (251) 928-9090

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NPI Details

EASTERN SHORE CARE SERVICES is an ambulatory surgical clinic center in Fairhope, AL. EASTERN SHORE CARE SERVICES NPI is 1699068783. The provider is registered as an organization entity type.

The provider's business location address is:

411 N SECTION ST
FAIRHOPE, AL
ZIP 36532-649
Phone: (251) 928-9090
Fax: (251) 990-0520

The provider's authorized official is William R Staggers .
The authorized official title is President Owner and has the following contact phone number (251) 929-7850.

The CLIA number assigned to this NPI record is 01D2109847 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2011 and was last updated on 7/17/2019.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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