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Contact Information

OLIVE TREE HEALTHCARE PC
301 MEDICAL AVENUE
SUITE B
ANDALUSIA, AL36420
 Phone: 334-222-8734
 Fax: 334-222-8736
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for OLIVE TREE HEALTHCARE PC

NPI # 1538337035
LBN Legal business name OLIVE TREE HEALTHCARE PC
Authorized official RAINER BIRK - (MD/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/19/2008
Last updated 02/19/2008 - About 18 years ago
Identifiers
AL License # 28503
AL Medicaid PENDING
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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