1992816185 NPI number — MORROW CLINICS INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992816185 NPI number — MORROW CLINICS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MORROW CLINICS INC
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:
1992816185
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/23/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 221
Provider Second Line Business Mailing Address:
34867 HWY 43
Provider Business Mailing Address City Name:
HACKLEBURG
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35564-0221
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-935-3744
Provider Business Mailing Address Fax Number:
205-935-3779

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
34867 HWY 43
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HACKLEBURG
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35564-9281
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-935-3744
Provider Business Practice Location Address Fax Number:
205-935-3779
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MORROW
Authorized Official First Name:
STANLEY
Authorized Official Middle Name:
K
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
205-935-3744

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 541003851 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




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