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COMPLETE FAMILY PRACTICE NPI 1790810950


NPI Information

NPI: 1790810950
Provider Name: COMPLETE FAMILY PRACTICE

Doing Business As: ASC OCCUPATIONAL HEALTH

Classification: Preventive Medicine - 2083P0500X
Entity Type: Organization

Specialization: Preventive Medicine/Occupational Environmental Medicine

CLIA Number: 01D2099750

Address:
1908 CHEROKEE AVE SW
CULLMAN, AL
ZIP 35055
Phone: (256) 736-1460
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COMPLETE FAMILY PRACTICE is a preventive medicine/occupational environmental medicine preventive medicine in Cullman, AL. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. COMPLETE FAMILY PRACTICE NPI is 1790810950. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Asc Occupational Health.

The provider's business location address is:

1908 CHEROKEE AVE SW
CULLMAN, AL
ZIP 35055-502
Phone: (256) 736-1460
Fax: (256) 736-1458

The provider's authorized official is Lageita Watkins .
The authorized official title is Office Manager and has the following contact phone number (256) 737-9416.

The CLIA number assigned to this NPI record is 01D2099750 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 7/27/2009.


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
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental Medicine00018184ALABAMAYes

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
1F85759MEDICARE UPIN
21235175886OTHERNPI
3G90210MEDICARE UPIN
4438170475OTHEREIN
5416706670OTHEREIN
61629093638OTHERNPI

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

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