Extended Family Medical Clinic in Mobile - Clinic/center
Extended Family Medical Clinic - NPI 1720121395
Extended Family Medical Clinic is a Clinic/center in Mobile, Alabama. Extended Family Medical Clinic practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Extended Family Medical Clinic is 1720121395. The last update date is 2020-08-22.
Extended Family Medical Clinic's current location address is 108 N Catherine St, Mobile, Alabama. You can contact this provider via phone number 2514387170 and fax number 2514387173. The mailing address for Extended Family Medical Clinic is 108 N Catherine St, Mobile, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Extended Family Medical Clinic |
|---|---|
| Address | 108 N Catherine St, Mobile, Alabama |
| Phone Number | 2514387170 |
| Fax Number | 2514387173 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Blackmon Deniese Angelia |
| Credentials | CRNP |
| Telephone Number | 2514387170 |
NPI Number Detail
| NPI Number | 1720121395 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 108 N Catherine St |
|---|---|
| City | Mobile |
| State | Alabama (AL) |
| Post Code | 366041304 |
| Phone Number | 2514387170 |
| Fax Number | 2514387173 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 1-073404 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Extended Family Medical Clinic by the Centers for Medicare & Medicaid Services?
The Extended Family Medical Clinic has been assigned the NPI (National Provider Identifier) 1720121395 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Extended Family Medical Clinic located?
The Extended Family Medical Clinic is located at 108 N Catherine St, Mobile, AL 366041304.
What is the area of specialization for Extended Family Medical Clinic, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Extended Family Medical Clinic is Clinic/center, and the corresponding taxonomy code that categorizes this area of expertise is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720121395 to Extended Family Medical Clinic?
The Extended Family Medical Clinic received its 1720121395 assignment from the Centers for Medicare & Medicaid Services on 2007-02-14.
As of what date was the information pertaining to Extended Family Medical Clinic, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Extended Family Medical Clinic, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.