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SYLACAUGA PEDIATRIC CLINIC LLC NPI 1912948373


NPI Information

NPI: 1912948373
Provider Name: SYLACAUGA PEDIATRIC CLINIC, LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 01D0300405

Address:
115 W CLAY ST
SYLACAUGA, AL
ZIP 35150
Phone: (256) 245-3267
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SYLACAUGA PEDIATRIC CLINIC, LLC is a rural health clinic center in Sylacauga, AL. SYLACAUGA PEDIATRIC CLINIC, LLC NPI is 1912948373. The provider is registered as an organization entity type.

The provider's business location address is:

115 W CLAY ST
SYLACAUGA, AL
ZIP 35150-413
Phone: (256) 245-3267
Fax: (256) 245-2315

The provider's authorized official is Rekha Chadalawada .
The authorized official title is President and has the following contact phone number (256) 245-3267.

The CLIA number assigned to this NPI record is 01D0300405 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 10/4/2011.


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
1261QR1300XClinic/CenterRural HealthYes

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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