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TRICOUNTY FAMILY PRACTICE PC NPI 1891897948


NPI Information

NPI: 1891897948
Provider Name: TRICOUNTY FAMILY PRACTICE, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
149 CHESTNUT ST
ROANOKE, AL
ZIP 36274
Phone: (334) 863-5484
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TRICOUNTY FAMILY PRACTICE, PC is a family medicine in Roanoke, 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. TRICOUNTY FAMILY PRACTICE, PC NPI is 1891897948. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

149 CHESTNUT ST
ROANOKE, AL
ZIP 36274-301
Phone: (334) 863-5484
Fax: (334) 863-5481

The provider's authorized official is Abayomi G Oshinowo .
The authorized official title is Medical Director and has the following contact phone number (334) 863-5484.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 12/16/2008.


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 Medicine20466ALABAMAYes

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
1P00294978MEDICARE PIN
2529904460MEDICAIDALABAMA
3K824MEDICARE PINALABAMA
4000094486MEDICARE 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: 11/14/2023

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