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Contact Information

HEALTHSOURCE HUNTSVILLE-THE ROCKET CITY LLC
2915 BOB WALLACE AVE SW STE B
HUNTSVILLE, AL35805-4107
 Phone: 256-880-8833
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for HEALTHSOURCE HUNTSVILLE-THE ROCKET CITY LLC

NPI Number 1477258275
LBN Legal business name HEALTHSOURCE HUNTSVILLE-THE ROCKET CITY LLC
Authorized official SEAN WALLIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2023
Last updated 04/03/2023 - About 3 years ago
Identifiers n/a
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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