Fagan Sports Medicine

LBN: Fagan Llc
Fagan Sports Medicine is an health care organization with primary practice located at 3125 Independence Dr Suite 300A, Birmingham AL 35209-4159. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Other Service Providers / Specialist is the primary health care specialty. Fagan Llc can be contacted via phone (205) 879-8206, or through Fagan, Kimberly M via phone (205) 879-8206.

Contact Information

Primary practice address
3125 Independence Dr Suite 300A Birmingham AL 35209-4159
Phone: (205) 879-8206
Fax: (205) 879-0675
Website:
Map and Directions
Authorized official contact:
Name: Fagan, Kimberly M Doctor of Medicine (MD)
Phone: (205) 879-8206

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 14105 Alabama
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 14105 Alabama
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 14105 Alabama

Profile Details

NPI number 1770740482
LBN Legal business name Fagan Llc
DBA Doing business as Fagan Sports Medicine
Authorized official Fagan, Kimberly M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2008
Last updated Jan 6th, 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 1770740482 NPPES
Alabama Other I621 MEDICARE GROUP IDENTIFIER

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