Raynard Fabianke, Medical Clinic Of Red Bay

LBN: Raynard Fabianke, Medical Clinic Of Red Bay
Raynard Fabianke, Medical Clinic Of Red Bay is an health care organization with primary practice located at 209 Hospital Rd , Red Bay AL 35582-3858. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Raynard Fabianke, Medical Clinic Of Red Bay can be contacted via phone (256) 356-9511, or through Copeland, Monica via phone (256) 532-1888.

Contact Information

Primary practice address
209 Hospital Rd Red Bay AL 35582-3858
Phone: (256) 356-9511
Fax: (256) 356-9339
Website:
Map and Directions
Authorized official contact:
Name: Copeland, Monica
Phone: (256) 532-1888

Health care specialties

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

Profile Details

NPI number 1770666992
LBN Legal business name Raynard Fabianke, Medical Clinic Of Red Bay
DBA Doing business as
Authorized official Copeland, Monica
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Sep 30th, 2013 - about 11 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 1770666992 NPPES
Other CM2749 MEDICARE RAILROAD

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