Prattville Primary Care Llc

LBN: Prattville Primary Care Llc
Prattville Primary Care Llc is an health care organization with primary practice located at 461 E Main Street , Prattville AL 36067. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Prattville Primary Care Llc can be contacted via phone (334) 365-2205, or through Ingram, Danny P via phone (334) 365-2205.

Contact Information

Primary practice address
461 E Main Street Prattville AL 36067
Phone: (334) 365-2205
Fax: (334) 361-7975
Website:
Map and Directions
Authorized official contact:
Name: Ingram, Danny P Doctor of Medicine (MD)
Phone: (334) 365-2205

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10401 Alabama

Profile Details

NPI number 1326184029
LBN Legal business name Prattville Primary Care Llc
DBA Doing business as
Authorized official Ingram, Danny P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Feb 21st, 2020 - about 4 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 1326184029 NPPES
Alabama MEDICAID 000030008
Alabama Other 51030008

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