Desselle Surgical Clinic, Llc

LBN: Desselle Surgical Clinic, Llc
Desselle Surgical Clinic, Llc is an health care organization with primary practice located at 203 Avalon Ave Suite 290, Muscle Shoals AL 35661-2869. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Desselle Surgical Clinic, Llc can be contacted via phone (256) 386-1125, or through Dawson, Diane H. via phone (256) 386-1125.

Contact Information

Primary practice address
203 Avalon Ave Suite 290 Muscle Shoals AL 35661-2869
Phone: (256) 386-1125
Fax: (256) 386-1126
Website:
Map and Directions
Authorized official contact:
Name: Dawson, Diane H.
Phone: (256) 386-1125

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25005 Alabama

Profile Details

NPI number 1992938930
LBN Legal business name Desselle Surgical Clinic, Llc
DBA Doing business as
Authorized official Dawson, Diane H.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2009
Last updated Jan 6th, 2010 - 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 1992938930 NPPES
Louisiana MEDICAID 1477478
Louisiana MEDICAID 114470
Louisiana Other 510-49740
Louisiana Other 102I029080

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