Bankhead General Surgery

LBN: Russellville Physician Practices Llc
Bankhead General Surgery is an health care organization with primary practice located at 523 Gandy St Ne Suite E, Russellville AL 35653-1961. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Russellville Physician Practices Llc can be contacted via phone (256) 331-1449, or through Bivacca, Donald via phone (615) 372-8500.

Contact Information

Primary practice address
523 Gandy St Ne Suite E Russellville AL 35653-1961
Fax: (256) 331-5182
Website:
Authorized official contact:
Name: Bivacca, Donald

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 17151 Alabama

Profile Details

NPI number 1528377983
LBN Legal business name Russellville Physician Practices Llc
DBA Doing business as Bankhead General Surgery
Authorized official Bivacca, Donald
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2010
Last updated Oct 4th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528377983 NPPES
Alabama MEDICAID PENDING

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