Abc Pediatric Clinic Llc

LBN: Abc Pediatric Clinic Llc
Abc Pediatric Clinic Llc is an health care organization with primary practice located at 1900 Main Ave Sw , Cullman AL 35055-7200. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Abc Pediatric Clinic Llc can be contacted via phone (256) 734-3759, or through Joines, Lisa Karen via phone (256) 734-3759.

Contact Information

Primary practice address
1900 Main Ave Sw Cullman AL 35055-7200
Fax: (256) 734-9764
Website:
Authorized official contact:
Name: Joines, Lisa Karen Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 00023029 Alabama

Profile Details

NPI number 1841495603
LBN Legal business name Abc Pediatric Clinic Llc
DBA Doing business as
Authorized official Joines, Lisa Karen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2007
Last updated Jun 4th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841495603 NPPES
Alabama MEDICAID 009923945

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