OBELISK HEALTHCARE NPI 1841472529

NPI Information

NPI: 1841472529
Provider Name: OBELISK HEALTHCARE
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
4705 WOODMERE BLVD
MONTGOMERY, AL
ZIP 36106
Phone: (334) 558-0262
Get Directions

OBELISK HEALTHCARE is a health service clinic center in Montgomery, AL. OBELISK HEALTHCARE NPI is 1841472529. The provider is registered as an organization entity type.

The provider's business location address is:

4705 WOODMERE BLVD
MONTGOMERY, AL
ZIP 36106-078
Phone: (334) 558-0262
Fax: (334) 558-0267

The provider's authorized official is Dionne Williams .
The authorized official title is Office Manager and has the following contact phone number (334) 558-0262.

The enumeration date for this NPI number is 12/4/2007 and was last updated on 10/15/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	20243	ALABAMA	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	Other Provider Identifier Issuer
1	1205803327	MEDICARE PIN	ALABAMA
2	515-21545	OTHER	ALABAMA	BCBS ALABAMA
3	529922860	MEDICAID	ALABAMA
4	G41024	MEDICARE UPIN	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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