CHATOM PRIMARY CARE PC NPI 1730158544

NPI Information

NPI: 1730158544
Provider Name: CHATOM PRIMARY CARE PC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
14634 SAINT STEPHENS AVE
CHATOM, AL
ZIP 36518
Phone: (251) 847-6262
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CHATOM PRIMARY CARE PC is a rural health clinic center in Chatom, AL. CHATOM PRIMARY CARE PC NPI is 1730158544. The provider is registered as an organization entity type.

The provider's business location address is:

14634 SAINT STEPHENS AVE
CHATOM, AL
ZIP 36518-711
Phone: (251) 847-6262
Fax: (251) 847-6277

The provider's authorized official is James Steven Donald .
The authorized official title is Owner President and has the following contact phone number (251) 847-6262.

The enumeration date for this NPI number is 3/15/2006 and was last updated on 2/24/2016.

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	261Q00000X	Clinic/Center				No
2	261QR1300X	Clinic/Center	Rural Health			Yes

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
1	013923	MEDICARE OSCAR/CERTIFICATION	ALABAMA
2	529905180	MEDICAID	ALABAMA
3	I211	MEDICARE PIN	ALABAMA
4	541003923	MEDICAID	ALABAMA
5	013923	MEDICARE PIN	ALABAMA

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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