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BHC-BLOUNT & ETOWAH COUNTIES NPI 1720042963


NPI Information

NPI: 1720042963
Provider Name: BHC-BLOUNT & ETOWAH COUNTIES

Doing Business As: BHC-ONEONTA

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
150 GILBREATH DR
SUITE 201
ONEONTA, AL
ZIP 35121
Phone: (205) 274-8198
Get Directions

BHC-BLOUNT & ETOWAH COUNTIES is a family medicine in Oneonta, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BHC-BLOUNT & ETOWAH COUNTIES NPI is 1720042963. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bhc-oneonta.

The provider's business location address is:

150 GILBREATH DR
SUITE 201
ONEONTA, AL
ZIP 35121-827
Phone: (205) 274-8198
Fax: (205) 274-8197

The provider's authorized official is George Scott Fenn .
The authorized official title is Chief Integration Officer and has the following contact phone number (205) 715-5415.

The enumeration date for this NPI number is 4/14/2006 and was last updated on 3/30/2012.


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
1207Q00000XFamily MedicineYes

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
1013873MEDICARE ID-TYPE UNSPECIFIEDALABAMARURAL HEALTH MEDICARE #
2541003873MEDICAIDALABAMA
3529301940MEDICAIDALABAMA
4F020MEDICARE PINALABAMA
5D729MEDICARE ID-TYPE UNSPECIFIEDALABAMA

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: 11/14/2023

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