Grant Family Medicine, Llc in Grant - Clinic/center
Grant Family Medicine, Llc - NPI 1316948649
Grant Family Medicine, Llc is a Clinic/center in Grant, Alabama. Grant Family Medicine, Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Grant Family Medicine, Llc is 1316948649. The last update date is 2020-08-22.
Grant Family Medicine, Llc's current location address is 4500 Main St, Grant, Alabama. You can contact this provider via phone number 2567288600 and fax number 2567288602. The mailing address for Grant Family Medicine, Llc is 4500 Main St, Grant, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grant Family Medicine, Llc |
|---|---|
| Address | 4500 Main St, Grant, Alabama |
| Phone Number | 2567288600 |
| Fax Number | 2567288602 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Craze Bernice Hilda |
| Credentials | M.D. |
| Telephone Number | 2567288600 |
NPI Number Detail
| NPI Number | 1316948649 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4500 Main St |
|---|---|
| City | Grant |
| State | Alabama (AL) |
| Post Code | 357478303 |
| Phone Number | 2567288600 |
| Fax Number | 2567288602 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 12795 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 404999 | AL | AETNA | |
| 51000192 | AL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Grant Family Medicine, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Grant Family Medicine, Llc has been assigned the NPI (National Provider Identifier) 1316948649. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Grant Family Medicine, Llc's facilities are situated?
The facilities of Grant Family Medicine, Llc are physically located at the following address: 4500 Main St, Grant, AL, 357478303.
What is the Grant Family Medicine, Llc's area of specialization and corresponding taxonomy classification?
The Grant Family Medicine, Llc's specialty field is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316948649 to Grant Family Medicine, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1316948649 to Grant Family Medicine, Llc on 2005-08-09.
As of what date were the details pertaining to Grant Family Medicine, Llc last refreshed?
The information related to the Grant Family Medicine, Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.