Canebrake Medical Management

LBN: Canebrake Medical Management
Canebrake Medical Management is an health care organization with primary practice located at 123 E Capitol St , Demopolis AL 36732-2218. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Canebrake Medical Management can be contacted via phone (334) 289-9408, or through Moore, Terre M. via phone (334) 289-9408.

Contact Information

Primary practice address
123 E Capitol St Demopolis AL 36732-2218
Fax:
Website:
Authorized official contact:
Name: Moore, Terre M. CRNP

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11061 Alabama

Profile Details

NPI number 1821380866
LBN Legal business name Canebrake Medical Management
DBA Doing business as
Authorized official Moore, Terre M. CRNP
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2011
Last updated Oct 14th, 2011 - about 14 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 1821380866 NPPES
Alabama MEDICAID 129958

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