Cullman County Medical Clinic Inc
LBN: Cullman County Medical Clinic Inc
Cullman County Medical Clinic Inc is an health care organization with primary practice located at 1910 Cherokee Ave Sw , Cullman AL 35055-5502. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Cullman County Medical Clinic Inc can be contacted via phone (256) 739-3500, or through Hice, Shana Jochum via phone (256) 736-5328.
Contact Information
Primary practice address
1910 Cherokee Ave Sw
Cullman AL 35055-5502
Phone: (256) 739-3500
Fax: (256) 736-1093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | ||
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X |
Profile Details
| NPI number | 1609879220 |
|---|---|
| LBN Legal business name | Cullman County Medical Clinic Inc |
| DBA Doing business as | |
| Authorized official | Hice, Shana Jochum |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Aug 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609879220 | NPPES |
| Alabama | MEDICAID | 529907580 |
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