NPI 1205089372 NORTHSIDE MEDICAL, INC. FORT PAYNE AL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Northside Medical, Inc. - NPI: 1205089372

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: NORTHSIDE MEDICAL, INC.
NPI Number: 1205089372
Entity Type Code: Organizational (2)
Authorized Official Name: ROBERT W. THEAKSTON
(PRESIDENT)
Mailing Address: 211 Greenhill Blvd Nw
Fort Payne
State: AL US
Postal Code: 359673755
Phone Number: 2568459355
Fax Number:
NPI Enumeration Date: 11/02/2008
NPI Last Update Date: 11/02/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QP2300X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Primary Care
Taxonomy Definition:


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