Reagan'S Clinic, Llc

LBN: Reagan'S Clinic, Llc
Reagan'S Clinic, Llc is an health care organization with primary practice located at 12205 County Line Rd Ste C , Madison AL 35758-7720. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is the primary health care specialty. Reagan'S Clinic, Llc can be contacted via phone (563) 424-0459, or through Hultquist, Marc A via phone (256) 258-8319.

Contact Information

Primary practice address
12205 County Line Rd Ste C Madison AL 35758-7720
Phone: (563) 424-0459
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hultquist, Marc A Doctor of Osteopathy (DO)
Phone: (256) 258-8319

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1558123190
LBN Legal business name Reagan'S Clinic, Llc
DBA Doing business as
Authorized official Hultquist, Marc A Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2024
Last updated Feb 23rd, 2024 - about 2 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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