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Contact Information

PIKE INTERNAL MEDICINE
664 VETERANS BLVD
BRUNDIDGE, AL36010
 Phone: 334-566-1270
 Fax: 334-566-1296
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PIKE INTERNAL MEDICINE

NPI # 1679779177
LBN Legal business name PIKE INTERNAL MEDICINE
Authorized official CHERYL DICHIARA - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 06/22/2007
Last updated 04/02/2008 - About 18 years ago
Identifiers
AL License # 00006320
AL Medicaid 52880960
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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