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Contact Information

VIP MEDICAL SERVICES
608 STONE AVENUE
TALLADEGA, AL35610-2217
 Phone: 205-427-0691
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for VIP MEDICAL SERVICES

NPI Number 1124271283
LBN Legal business name VIP MEDICAL SERVICES
Authorized official RONALD ROAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/02/2008
Last updated 06/24/2011 - About 15 years ago
Identifiers
AL Medicaid 128722
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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