Cullman Primary Care, Pc
LBN: Cullman Primary Care, Pc
Cullman Primary Care, Pc is an health care organization with primary practice located at 105 2Nd Ave Se , Cullman AL 35055-3511. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Radiology, Laboratories / Clinical Medical Laboratory. Laboratories / Clinical Medical Laboratory is the primary health care specialty.
Cullman Primary Care, Pc can be contacted via phone (256) 734-3141, or through Bostick, Ben G via phone (256) 734-3141.
Contact Information
Primary practice address
105 2Nd Ave Se
Cullman AL 35055-3511
Phone: (256) 734-3141
Fax: (256) 734-3866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Radiology | 261QR0200X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X | 01D0300133 | Alabama |
Profile Details
| NPI number | 1982685178 |
|---|---|
| LBN Legal business name | Cullman Primary Care, Pc |
| DBA Doing business as | |
| Authorized official | Bostick, Ben G Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Aug 31st, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982685178 | NPPES |
| Alabama | Other | 000040933 | MEDICARE GROUP ID |
| Alabama | MEDICAID | 000040933 | MEDICARE GROUP ID |
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