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Contact Information

DECATUR ORTHOPAEDIC CLINIC, LLC
1107 14TH AVE SE STE 300
DECATUR, AL35601-3368
 Phone: 256-350-0362
 Fax: 256-355-9779
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DECATUR ORTHOPAEDIC CLINIC, LLC

NPI # 1740331347
LBN Legal business name DECATUR ORTHOPAEDIC CLINIC, LLC
Authorized official MARSHA BUCHANAN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/12/2007
Last updated 02/09/2024 - About 2 years ago
Identifiers
AL Medicaid 528600740
AL Other 009932533 ALABAMA MEDICAID DME
AL Other CH5919 MEDICARE RAILROAD
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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