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CENTER STAR FAMILY PRACTICE INC NPI 1801950167


NPI Information

NPI: 1801950167
Provider Name: CENTER STAR FAMILY PRACTICE, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 01D1018695

Address:
6459 HIGHWAY 72
KILLEN, AL
ZIP 35645
Phone: (256) 272-0275
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CENTER STAR FAMILY PRACTICE, INC is a family medicine in Killen, 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. CENTER STAR FAMILY PRACTICE, INC NPI is 1801950167. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6459 HIGHWAY 72
KILLEN, AL
ZIP 35645-258
Phone: (256) 272-0275
Fax: (256) 272-0277

The provider's authorized official is Debra P. Dinges .
The authorized official title is Owner and has the following contact phone number (256) 272-0275.

The CLIA number assigned to this NPI record is 01D1018695 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/21/2006 and was last updated on 2/22/2011.


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 Medicine1035809ALABAMAYes

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
1529919990MEDICAIDALABAMA
2J842MEDICARE PINALABAMA

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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