EASTERN SHORE CARE SERVICES NPI 1699068783

NPI Information

NPI: 1699068783
Provider Name: EASTERN SHORE CARE SERVICES
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 01D2109847

Address:
411 N SECTION ST
FAIRHOPE, AL
ZIP 36532
Phone: (251) 928-9090
Get Directions

EASTERN SHORE CARE SERVICES is an ambulatory surgical clinic center in Fairhope, AL. EASTERN SHORE CARE SERVICES NPI is 1699068783. The provider is registered as an organization entity type.

The provider's business location address is:

411 N SECTION ST
FAIRHOPE, AL
ZIP 36532-649
Phone: (251) 928-9090
Fax: (251) 990-0520

The provider's authorized official is William R Staggers .
The authorized official title is President Owner and has the following contact phone number (251) 929-7850.

The CLIA number assigned to this NPI record is 01D2109847 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2011 and was last updated on 7/17/2019.

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	261QA1903X	Clinic/Center	Ambulatory Surgical			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

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.

« Previous NPI

Next NPI »