Dba Lakeshore Pediatric Rural Health Clinic

LBN: Lakeshore Pediatrics Of Russellville, Pc
Dba Lakeshore Pediatric Rural Health Clinic is an health care organization with primary practice located at 603 Gandy St Ne , Russellville AL 35653-1911. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Lakeshore Pediatrics Of Russellville, Pc can be contacted via phone (256) 331-5055, or through Thompson, Rebecca via phone (256) 331-5055.

Contact Information

Primary practice address
603 Gandy St Ne Russellville AL 35653-1911
Phone: (256) 331-5055
Fax: (256) 460-4647
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Rebecca
Phone: (256) 331-5055

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X Alabama

Profile Details

NPI number 1326352873
LBN Legal business name Lakeshore Pediatrics Of Russellville, Pc
DBA Doing business as Dba Lakeshore Pediatric Rural Health Clinic
Authorized official Thompson, Rebecca
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2010
Last updated Jul 27th, 2010 - 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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