MODERN HEALTH FAMILY CARE PRACTICE NPI 1891316758

NPI Information

NPI: 1891316758
Provider Name: MODERN HEALTH FAMILY CARE PRACTICE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 01D2191631

Address:
13000 COTTONWOOD RD
COTTONWOOD, AL
ZIP 36320
Phone: (334) 797-4787
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MODERN HEALTH FAMILY CARE PRACTICE is a primary care clinic center in Cottonwood, AL. MODERN HEALTH FAMILY CARE PRACTICE NPI is 1891316758. The provider is registered as an organization entity type.

The provider's business location address is:

13000 COTTONWOOD RD
COTTONWOOD, AL
ZIP 36320-280
Phone: (334) 797-4787

The provider's authorized official is Jessica Carliela Jones .
The authorized official title is Owner and has the following contact phone number (334) 797-4787.

The CLIA number assigned to this NPI record is 01D2191631 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2020 and was last updated on 8/27/2020.

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	261QP2300X	Clinic/Center	Primary Care			Yes

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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