1740295542 NPI number — MARSHALL FAMILY HEALTH CLINIC

Table of content: DR. LINDSEY LEIGH SAINT M.D. (NPI 1386871069)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740295542 NPI number — MARSHALL FAMILY HEALTH CLINIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARSHALL FAMILY HEALTH CLINIC
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:
1740295542
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/26/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
227 BRITTANY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GUNTERSVILLE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35976-5766
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-891-3144
Provider Business Mailing Address Fax Number:
256-878-1742

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5930 HWY 431
Provider Second Line Business Practice Location Address:
SUITE 2
Provider Business Practice Location Address City Name:
ALBERTVILLE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35950
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-878-1053
Provider Business Practice Location Address Fax Number:
256-878-1742
Provider Enumeration Date:
07/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GORE
Authorized Official First Name:
GARY
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
256-894-6615

Provider Taxonomy Codes

  • Taxonomy code: 261QR1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 541003902 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 529704170 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: I561 . This is a "MEDICARE GROUP NUMBER" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




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