1922440551 NPI number — TUSCALOOSA FOCUS MD LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922440551 NPI number — TUSCALOOSA FOCUS MD LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TUSCALOOSA FOCUS MD LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922440551
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/11/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 8159
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOBILE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36689-0159
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
251-414-5810
Provider Business Mailing Address Fax Number:
251-414-5809

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
720 ENERGY CENTER BLVD
Provider Second Line Business Practice Location Address:
STE 504
Provider Business Practice Location Address City Name:
NORTHPORT
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
25473-2794
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-301-2837
Provider Business Practice Location Address Fax Number:
205-543-5530
Provider Enumeration Date:
07/24/2013

Additional Information

Authorized Official

Authorized Official Last Name:
THOMAS
Authorized Official First Name:
MARK
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
205-301-2837

Provider Taxonomy Codes

  • Taxonomy code: 2080A0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 152344 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




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