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DECATUR FAMILY MEDICINE PC NPI 1982805149


NPI Information

NPI: 1982805149
Provider Name: DECATUR FAMILY MEDICINE PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1215 7TH STREET SE
SUITE 110
DECATUR, AL
ZIP 35601
Phone: (256) 306-1655
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DECATUR FAMILY MEDICINE PC is a family medicine in Decatur, 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. DECATUR FAMILY MEDICINE PC NPI is 1982805149. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1215 7TH STREET SE
SUITE 110
DECATUR, AL
ZIP 35601-381
Phone: (256) 306-1655
Fax: (256) 306-1601

The provider's authorized official is Michelle Drake Radcliff .
The authorized official title is Office Manager and has the following contact phone number (256) 584-8211.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 11/20/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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
11982805149MEDICARE PINALABAMA
2H409MEDICARE PINALABAMA
3529902310MEDICAIDALABAMA

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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