Harry L Richardson
LBN: Reform Medical Clinic
Harry L Richardson is an health care organization with primary practice located at 514 10Th Avenue South West , Reform AL 35481-0670. The organization recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as the primary health care specialty.
Reform Medical Clinic can be contacted via phone (205) 375-6251, or through Richardson, Harry Lee via phone (205) 375-6251.
Contact Information
Primary practice address
514 10Th Avenue South West
Reform AL 35481-0670
Phone: (205) 375-6251
Fax: (205) 375-9064
Website:
Authorized official contact:
Name: Richardson, Harry Lee Doctor of Medicine (MD)
Phone: (205) 375-6251
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Personal Emergency Response Attendant | 146D00000X | 11725 | Alabama |
Profile Details
| NPI number | 1033354477 |
|---|---|
| LBN Legal business name | Reform Medical Clinic |
| DBA Doing business as | Harry L Richardson |
| Authorized official | Richardson, Harry Lee Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 15th, 2008 |
| Last updated | Dec 15th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033354477 | NPPES |
| Alabama | Other | 080138169 | PALMETTO GBA |
| Alabama | Other | 051076801 | PALMETTO GBA |
| Alabama | MEDICAID | 000084188 | PALMETTO GBA |
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