Black Watch Sports Performance

LBN: Black Watch Sports Performance
Black Watch Sports Performance is an health care organization with primary practice located at 157 Resource Center Pkwy Ste 107 , Birmingham AL 35242-8135. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Black Watch Sports Performance can be contacted via phone (229) 402-3338, or through Anderson, Shelley Anne via phone (229) 402-3338.

Contact Information

Primary practice address
157 Resource Center Pkwy Ste 107 Birmingham AL 35242-8135
Phone: (229) 402-3338
Fax: (205) 453-4603
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Shelley Anne DPT
Phone: (229) 402-3338

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1730855016
LBN Legal business name Black Watch Sports Performance
DBA Doing business as
Authorized official Anderson, Shelley Anne DPT
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 18th, 2021
Last updated Aug 18th, 2021 - about 4 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 1730855016 NPPES
Alabama Other 1255980181 BLUE CROSS BLUE SHIELD

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