DEKALB PRIMARY CARE NPI 1528821402

NPI Information

NPI: 1528821402
Provider Name: DEKALB PRIMARY CARE
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
200 MEDICAL CENTER DR SW
FORT PAYNE, AL
ZIP 35968
Phone: (256) 845-3150
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DEKALB PRIMARY CARE is a multi-specialty clinic center in Fort Payne, AL. DEKALB PRIMARY CARE NPI is 1528821402. The provider is registered as an organization entity type.

The provider's business location address is:

200 MEDICAL CENTER DR SW
FORT PAYNE, AL
ZIP 35968-458
Phone: (256) 845-3150

The provider's authorized official is Clinton Carter .
The authorized official title is Cfo and has the following contact phone number (256) 265-8818.

The enumeration date for this NPI number is 2/2/2024 and was last updated on 2/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			No
2	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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