Tennessee Valley Gastroenterology
LBN: Tennessee Valley Gastroenterology
Tennessee Valley Gastroenterology is an health care organization with primary practice located at 416 N. Seminary Street Ste 3100, Florence AL 35630. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is the primary health care specialty.
Tennessee Valley Gastroenterology can be contacted via phone (256) 766-8667, or through Wilkes, Jason via phone (256) 766-8667.
Contact Information
Primary practice address
416 N. Seminary Street Ste 3100
Florence AL 35630
Phone: (256) 766-8667
Fax: (256) 767-5327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 00006975 | Alabama |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | Alabama |
Profile Details
| NPI number | 1093851313 |
|---|---|
| LBN Legal business name | Tennessee Valley Gastroenterology |
| DBA Doing business as | |
| Authorized official | Wilkes, Jason Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | May 9th, 2017 - about 7 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 | 1093851313 | NPPES |
| Alabama | MEDICAID | 051521216 | |
| Alabama | MEDICAID | 529919960 |
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