Boaz Family Medicine, Pc in Boaz - Clinic/center
Boaz Family Medicine, Pc - NPI 1790840775
Boaz Family Medicine, Pc is a Clinic/center in Boaz, Alabama. Boaz Family Medicine, Pc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Boaz Family Medicine, Pc is 1790840775. The last update date is 2020-08-22.
Boaz Family Medicine, Pc's current location address is 122 N Snead St, Boaz, Alabama. You can contact this provider via phone number 2568405800 and fax number 2568405600. The mailing address for Boaz Family Medicine, Pc is 122 N Snead St, Boaz, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Boaz Family Medicine, Pc |
---|---|
Address | 122 N Snead St, Boaz, Alabama |
Phone Number | 2568405800 |
Fax Number | 2568405600 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PHYSICIAN |
---|---|
Authorized Official Name | Robinson Russell Jerry |
Credentials | D. O. |
Telephone Number | 2568405800 |
NPI Number Detail
NPI Number | 1790840775 |
---|---|
Provider Enumeration Date | 2006-12-27 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 122 N Snead St |
---|---|
City | Boaz |
State | Alabama (AL) |
Post Code | 359571763 |
Phone Number | 2568405800 |
Fax Number | 2568405600 |
Provider's Primary Taxonomy Detail
Speciality | Clinic/center |
---|---|
Taxonomy | 261Q00000X |
Licence No | DO287 |
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
51504831 | AL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Boaz Family Medicine, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Boaz Family Medicine, Pc has been assigned the NPI (National Provider Identifier) 1790840775. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Boaz Family Medicine, Pc is located?
The Boaz Family Medicine, Pc is situated at the following address: 122 N Snead St, Boaz, AL, 359571763.
What is Boaz Family Medicine, Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Boaz Family Medicine, Pc is Clinic/center, and the taxonomy classification code that categorizes this area of expertise is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790840775 to Boaz Family Medicine, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1790840775 to Boaz Family Medicine, Pc on 2006-12-27.
When was the information regarding Boaz Family Medicine, Pc most recently updated?
The details pertaining to the Boaz Family Medicine, Pc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1104829498
Address: 1416 Crown Drive, Kirksville, MO
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA