1285606897 NPI number — CHARLES K URQUHART MD

Table of content: CHARLES K URQUHART MD (NPI 1285606897)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285606897 NPI number — CHARLES K URQUHART MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
URQUHART
Provider First Name:
CHARLES
Provider Middle Name:
K
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285606897
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/19/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O.BOX 5430
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANNISTON
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36205-0430
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-237-1625
Provider Business Mailing Address Fax Number:
256-238-0555

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
171 TOWN CENTER DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANNISTON
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-237-1625
Provider Business Practice Location Address Fax Number:
256-241-2277
Provider Enumeration Date:
02/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  17013 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 51085136 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 024005083 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 14727 . This is a "HEALTH STRATEGIES" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 000085136 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




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