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ELITE HEALTH GROUP LLC SOUTHSIDE NPI 1619675246


NPI Information

NPI: 1619675246
Provider Name: ELITE HEALTH GROUP LLC SOUTHSIDE
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 01D2283098

Address:
1322 HWY 77
SOUTHSIDE, AL
ZIP 35907
Phone: (256) 900-3010
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ELITE HEALTH GROUP LLC SOUTHSIDE is an urgent care clinic center in Southside, AL. ELITE HEALTH GROUP LLC SOUTHSIDE NPI is 1619675246. The provider is registered as an organization entity type.

The provider's business location address is:

1322 HWY 77
SOUTHSIDE, AL
ZIP 35907
Phone: (256) 900-3010

The provider's authorized official is Penny Stargel .
The authorized official title is Biller and has the following contact phone number (256) 203-4844.

The CLIA number assigned to this NPI record is 01D2283098 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2023 and was last updated on 2/23/2023.


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
1261QU0200XClinic/CenterUrgent CareYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.