Family Medicine Of Russellville Inc

LBN: Family Medicine Of Russellville Inc
Family Medicine Of Russellville Inc is an health care organization with primary practice located at 605 Gandy St Ne , Russellville AL 35653-1911. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Family Medicine Of Russellville Inc can be contacted via phone (256) 332-8969, or through Gregorio, Ryan Albert via phone (256) 332-8969.

Contact Information

Primary practice address
605 Gandy St Ne Russellville AL 35653-1911
Phone: (256) 332-8969
Fax: (256) 332-8353
Website:
Map and Directions
Authorized official contact:
Name: Gregorio, Ryan Albert Doctor of Medicine (MD)
Phone: (256) 332-8969

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1366625923
LBN Legal business name Family Medicine Of Russellville Inc
DBA Doing business as
Authorized official Gregorio, Ryan Albert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2007
Last updated Mar 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366625923 NPPES
Alabama MEDICAID 529933001

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