Fairhope Internal Medicine Pc

LBN: Fairhope Internal Medicine Pc
Fairhope Internal Medicine Pc is an health care organization with primary practice located at 150 S Ingleside St Ste 6 , Fairhope AL 36532-1804. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Fairhope Internal Medicine Pc can be contacted via phone (251) 990-1740, or through Ray, Laura Susan via phone (251) 990-1740.

Contact Information

Primary practice address
150 S Ingleside St Ste 6 Fairhope AL 36532-1804
Phone: (251) 990-1740
Fax: (251) 990-1831
Website:
Map and Directions
Authorized official contact:
Name: Ray, Laura Susan Doctor of Medicine (MD)
Phone: (251) 990-1740

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1295760494
LBN Legal business name Fairhope Internal Medicine Pc
DBA Doing business as
Authorized official Ray, Laura Susan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2006
Last updated Jun 9th, 2020 - about 5 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 1295760494 NPPES
Alabama MEDICAID 529917330

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