Jess C Haggerty Iii Sole Mbr
LBN: Family & Community Medicine Associates Llc
Jess C Haggerty Iii Sole Mbr is an health care organization with primary practice located at 405 East Barbour Street Suite 3, Eufaula AL 36027-1701. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Family & Community Medicine Associates Llc can be contacted via phone (334) 687-0250, or through Haggerty, Jesse Cornelius via phone (334) 687-0250.
Contact Information
Primary practice address
405 East Barbour Street Suite 3
Eufaula AL 36027-1701
Phone: (334) 687-0250
Fax: (334) 687-0299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 24003 | Alabama |
Profile Details
| NPI number | 1467549634 |
|---|---|
| LBN Legal business name | Family & Community Medicine Associates Llc |
| DBA Doing business as | Jess C Haggerty Iii Sole Mbr |
| Authorized official | Haggerty, Jesse Cornelius MD, PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jun 20th, 2018 - about 8 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 | 1467549634 | NPPES |
| Alabama | Other | 51536749 | BCBS PROVIDER # |
| Alabama | MEDICAID | 009952520 | BCBS PROVIDER # |
| Alabama | MEDICAID | 131642 | BCBS PROVIDER # |
| Alabama | Other | 51501961 | BCBS PROVIDER # |
| Alabama | Other | 63-1271382 | BCBS PROVIDER # |
| Alabama | Other | 51117736 | BCBS PROVIDER # |
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