Montgomery Family Medicine Residency Program
LBN: Montgomery Baptist Outreach Services Corporation
Montgomery Family Medicine Residency Program is an health care organization with primary practice located at 4371 Narrow Lane Rd Suite 100, Montgomery AL 36116-2971. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Montgomery Baptist Outreach Services Corporation can be contacted via phone (334) 613-3680, or through Bruton, Christine Elizabeth via phone (334) 273-4258.
Contact Information
Primary practice address
4371 Narrow Lane Rd Suite 100
Montgomery AL 36116-2971
Phone: (334) 613-3680
Fax: (334) 613-3685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1770534901 |
|---|---|
| LBN Legal business name | Montgomery Baptist Outreach Services Corporation |
| DBA Doing business as | Montgomery Family Medicine Residency Program |
| Authorized official | Bruton, Christine Elizabeth |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Apr 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770534901 | NPPES |
| Alabama | Other | 0113048 | UNITED HEALTHCARE |
| Alabama | Other | CC9180 | UNITED HEALTHCARE |
| Alabama | MEDICAID | 529904250 | UNITED HEALTHCARE |
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