Holifield Clinic Llc

LBN: Holifield Clinic Llc
Holifield Clinic Llc is an health care organization with primary practice located at 1100 S Cedar Ave , Demopolis AL 36732-3310. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Holifield Clinic Llc can be contacted via phone (334) 289-2190, or through Campbell, Heather Patrick via phone (334) 289-2190.

Contact Information

Primary practice address
1100 S Cedar Ave Demopolis AL 36732-3310
Fax: (334) 289-2195
Website:
Authorized official contact:
Name: Campbell, Heather Patrick

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X Alabama

Profile Details

NPI number 1568525855
LBN Legal business name Holifield Clinic Llc
DBA Doing business as
Authorized official Campbell, Heather Patrick
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Mar 7th, 2023 - 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 1568525855 NPPES
Alabama Other 1436 PRESCRIPTIVE#
Alabama Other 7780 PRESCRIPTIVE#
Alabama Other 0308385 PRESCRIPTIVE#
Alabama Other 1-045972 PRESCRIPTIVE#
Alabama MEDICAID 85905-COW PRESCRIPTIVE#

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