ATHENS LIMESTONE PEDIATRIC CENTER LLC NPI 1972985968

NPI Information

  • NPI: 1972985968
  • Provider Name: ATHENS LIMESTONE PEDIATRIC CENTER LLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • CLIA Number: 01D2087309
  • Address: 101 FITNESS WAY STE 2100
    ATHENS, AL
    ZIP 35611
  • Phone: (256) 216-9730

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NPI Details

ATHENS LIMESTONE PEDIATRIC CENTER LLC is a rural health clinic center in Athens, AL. ATHENS LIMESTONE PEDIATRIC CENTER LLC NPI is 1972985968. The provider is registered as an organization entity type.

The provider's business location address is:

101 FITNESS WAY STE 2100
ATHENS, AL
ZIP 35611-494
Phone: (256) 216-9730
Fax: (256) 216-9731

The provider's authorized official is Sebrina Holt .
The authorized official title is Compliance Director and has the following contact phone number (256) 216-9648.

The CLIA number assigned to this NPI record is 01D2087309 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2015 and was last updated on 6/25/2015.

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
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: 3/30/2025

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