Fagan Sports Medicine
LBN: Fagan Llc
Fagan Sports Medicine is an health care organization with primary practice located at 3125 Independence Dr Suite 300A, Birmingham AL 35209-4159. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Other Service Providers / Specialist is the primary health care specialty.
Fagan Llc can be contacted via phone (205) 879-8206, or through Fagan, Kimberly M via phone (205) 879-8206.
Contact Information
Primary practice address
3125 Independence Dr Suite 300A
Birmingham AL 35209-4159
Phone: (205) 879-8206
Fax: (205) 879-0675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 14105 | Alabama |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 14105 | Alabama |
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | 14105 | Alabama |
Profile Details
| NPI number | 1770740482 |
|---|---|
| LBN Legal business name | Fagan Llc |
| DBA Doing business as | Fagan Sports Medicine |
| Authorized official | Fagan, Kimberly M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 20th, 2008 |
| Last updated | Jan 6th, 2011 - about 15 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 | 1770740482 | NPPES |
| Alabama | Other | I621 | MEDICARE GROUP IDENTIFIER |
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