HOLIFIELD CLINIC LLC NPI 1568525855

NPI Information

NPI: 1568525855
Provider Name: HOLIFIELD CLINIC LLC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
1100 S CEDAR AVE
DEMOPOLIS, AL
ZIP 36732
Phone: (334) 289-2190
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HOLIFIELD CLINIC LLC is a community health clinic center in Demopolis, AL. HOLIFIELD CLINIC LLC NPI is 1568525855. The provider is registered as an organization entity type.

The provider's business location address is:

1100 S CEDAR AVE
DEMOPOLIS, AL
ZIP 36732-310
Phone: (334) 289-2190
Fax: (334) 289-2195

The provider's authorized official is Heather Patrick Campbell .
The authorized official title is Office Manager and has the following contact phone number (334) 289-2190.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 3/7/2023.

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	261QC1500X	Clinic/Center	Community Health		ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1436	OTHER	ALABAMA	PRESCRIPTIVE#
2	7780	OTHER	ALABAMA	AL LICENSE#
3	0308385	OTHER	ALABAMA	ACOG#
4	1-045972	OTHER	ALABAMA	AL LICENSE#
5	85905-COW	MEDICAID	ALABAMA

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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