KILLEN URGENT CARE INC. NPI 1760918494

NPI Information

NPI: 1760918494
Provider Name: KILLEN URGENT CARE, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 01D2132871

Address:
152 J C MAULDIN HWY
KILLEN, AL
ZIP 35645
Phone: (256) 710-9033
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KILLEN URGENT CARE, INC. is a primary care clinic center in Killen, AL. KILLEN URGENT CARE, INC. NPI is 1760918494. The provider is registered as an organization entity type.

The provider's business location address is:

152 J C MAULDIN HWY
KILLEN, AL
ZIP 35645-106
Phone: (256) 710-9033

The provider's authorized official is Tiffany Reshea Riner .
The authorized official title is Nurse Practitioner and has the following contact phone number (256) 710-9033.

The CLIA number assigned to this NPI record is 01D2132871 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2017 and was last updated on 5/1/2017.

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		ALABAMA	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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