Boaz Family Medicine, Pc

LBN: Boaz Family Medicine, Pc
Boaz Family Medicine, Pc is an health care organization with primary practice located at 122 N Snead St , Boaz AL 35957-1763. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Boaz Family Medicine, Pc can be contacted via phone (256) 840-5800, or through Robinson, Jerry Russell via phone (256) 840-5800.

Contact Information

Primary practice address
122 N Snead St Boaz AL 35957-1763
Phone: (256) 840-5800
Fax: (256) 840-5600
Website:
Map and Directions
Authorized official contact:
Name: Robinson, Jerry Russell Doctor of Osteopathy (DO)
Phone: (256) 840-5800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X DO287 Alabama

Profile Details

NPI number 1790840775
LBN Legal business name Boaz Family Medicine, Pc
DBA Doing business as
Authorized official Robinson, Jerry Russell Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790840775 NPPES
Alabama Other 51504831 BLUE CROSS BLUE SHIELD

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