1346213881 NPI number — NORTH ALABAMA CARDIOLOGY CENTER

Table of content: (NPI 1346213881)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346213881 NPI number — NORTH ALABAMA CARDIOLOGY CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH ALABAMA CARDIOLOGY CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1346213881
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
503 S 5TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GADSDEN
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35901-5103
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-546-6200
Provider Business Mailing Address Fax Number:
256-546-6250

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
503 S 5TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GADSDEN
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35901-5103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-546-6200
Provider Business Practice Location Address Fax Number:
256-546-6250
Provider Enumeration Date:
02/07/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SALSTER
Authorized Official First Name:
LARUE
Authorized Official Middle Name:
S
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
256-546-6200

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  00017905 , 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: 000033737 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 009925365 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 529602070 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0801897772 . This is a "DR PATEL NPI" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 0518968494 . This is a "DR NARAYAN NPI" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: DA9389 . This is a "RAILROAD MEDICARE GRP ID" identifier . This identifiers is of the category "OTHER".