General And Vascular Surgery Of Northwest Alabma, Inc.

LBN: General And Vascular Surgery Of Northwest Alabma, Inc.
General And Vascular Surgery Of Northwest Alabma, Inc. is an health care organization with primary practice located at 15225 Highway 43 Ste D , Russellville AL 35653-1969. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. General And Vascular Surgery Of Northwest Alabma, Inc. can be contacted via phone (256) 332-1500, or through Manord, Jeffrey via phone (256) 332-1500.

Contact Information

Primary practice address
15225 Highway 43 Ste D Russellville AL 35653-1969
Phone: (256) 332-1500
Fax: (256) 398-8888
Website:
Map and Directions
Authorized official contact:
Name: Manord, Jeffrey
Phone: (256) 332-1500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 23436 Alabama

Profile Details

NPI number 1154639227
LBN Legal business name General And Vascular Surgery Of Northwest Alabma, Inc.
DBA Doing business as
Authorized official Manord, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2010
Last updated Mar 29th, 2022 - about 2 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 1154639227 NPPES
Alabama MEDICAID 126776
Alabama Other 511-17526

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