Cullman Primary Care, Pc

LBN: Cullman Primary Care, Pc
Cullman Primary Care, Pc is an health care organization with primary practice located at 105 2Nd Ave Se , Cullman AL 35055-3511. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Radiology, Laboratories / Clinical Medical Laboratory. Laboratories / Clinical Medical Laboratory is the primary health care specialty. Cullman Primary Care, Pc can be contacted via phone (256) 734-3141, or through Bostick, Ben G via phone (256) 734-3141.

Contact Information

Primary practice address
105 2Nd Ave Se Cullman AL 35055-3511
Phone: (256) 734-3141
Fax: (256) 734-3866
Website:
Map and Directions
Authorized official contact:
Name: Bostick, Ben G Doctor of Medicine (MD)
Phone: (256) 734-3141

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X
Laboratories / Clinical Medical Laboratory 291U00000X 01D0300133 Alabama

Profile Details

NPI number 1982685178
LBN Legal business name Cullman Primary Care, Pc
DBA Doing business as
Authorized official Bostick, Ben G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2005
Last updated Aug 31st, 2023 - about last year

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 1982685178 NPPES
Alabama Other 000040933 MEDICARE GROUP ID
Alabama MEDICAID 000040933 MEDICARE GROUP ID

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