Surgery Clinic, Llc - Jacksonville

LBN: Surgery Clinic, Llc
Surgery Clinic, Llc - Jacksonville is an health care organization with primary practice located at 1622 Church Ave Se , Jacksonville AL 36265-3200. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Surgery Clinic, Llc can be contacted via phone (256) 547-6331, or through Keener, Dianette via phone (256) 547-6331.

Contact Information

Primary practice address
1622 Church Ave Se Jacksonville AL 36265-3200
Phone: (256) 547-6331
Fax: (256) 547-1711
Website:
Map and Directions
Authorized official contact:
Name: Keener, Dianette
Phone: (256) 547-6331

Health care specialties

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

Profile Details

NPI number 1780068460
LBN Legal business name Surgery Clinic, Llc
DBA Doing business as Surgery Clinic, Llc - Jacksonville
Authorized official Keener, Dianette
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 13th, 2015
Last updated Feb 10th, 2021 - about 5 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 1780068460 NPPES
Alabama MEDICAID 528202650

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