1841712684 NPI number — ALABAMA MEDICAL GROUP, PC

Table of content: (NPI 1841712684)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841712684 NPI number — ALABAMA MEDICAL GROUP, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALABAMA MEDICAL GROUP, PC
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:
INTERNAL MEDICINE CENTER LLC
Provider Other Organization Name Type Code:
5
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:
1841712684
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101 MEMORIAL HOSPITAL DR STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOBILE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36608-1787
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
251-414-5900
Provider Business Mailing Address Fax Number:
251-281-1163

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 MEMORIAL HOSPITAL DR STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOBILE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36608-1787
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-414-5900
Provider Business Practice Location Address Fax Number:
251-459-8964
Provider Enumeration Date:
07/13/2017

Additional Information

Authorized Official

Authorized Official Last Name:
HOLLIMAN
Authorized Official First Name:
CHRISTINE
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
251-414-5900

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1053318030 . This is a "GASTROENTEROLOGY" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1700093598 . This is a "NEUROLOGY" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1396730925 . This is a "INTERNAL MEDICINE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1598772204 . This is a "FAMILY MEDICINE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 164922921 . This is a "INTERNAL MEDICINE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1174800429 . This is a "GASTROENTEROLOGY" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1316945306 . This is a "INTERNAL MEDICINE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1811995731 . This is a "INTERNAL MEDICINE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1134145956 . This is a "INTERNAL MEDICINE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1407957046 . This is a "ENDOCRINOLOGY" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1700043114 . This is a "INTERNAL MEDICINE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1144587254 . This is a "INTERNAL MEDICINE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1275554636 . This is a "GASTROENTEROLOGY" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1952309965 . This is a "INTERNAL MEDICINE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1063679520 . This is a "RHEUMATOLOGY" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1093922882 . This is a "NEUROLOGY" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1932107943 . This is a "INTERNAL MEDICINE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1073834792 . This is a "GAASTROENTEROLOGY" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1336496421 . This is a "FAMILY MEDICINE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 165967022 . This is a "NEUROLOGY" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




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