Willow Tree Pediatrics Pc

LBN: Willow Tree Pediatrics Pc
Willow Tree Pediatrics Pc is an health care organization with primary practice located at 2108 Al Highway 157 , Cullman AL 35058-0656. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Willow Tree Pediatrics Pc can be contacted via phone (256) 735-4632, or through Blair, Heidi via phone (256) 708-6143.

Contact Information

Primary practice address
2108 Al Highway 157 Cullman AL 35058-0656
Phone: (256) 735-4632
Fax: (256) 735-4639
Website:
Map and Directions
Authorized official contact:
Name: Blair, Heidi Doctor of Medicine (MD)
Phone: (256) 708-6143

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19923 Alabama

Profile Details

NPI number 1407361108
LBN Legal business name Willow Tree Pediatrics Pc
DBA Doing business as
Authorized official Blair, Heidi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2017
Last updated Mar 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407361108 NPPES
Alabama MEDICAID 138096

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