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Contact Information

CENTRAL PEDIATRICS OF SOMERVILLE LLC
3609 HIGHWAY 67 S
SOMERVILLE, AL35670
 Phone: 256-233-0712
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for CENTRAL PEDIATRICS OF SOMERVILLE LLC

NPI Number 1336634666
LBN Legal business name CENTRAL PEDIATRICS OF SOMERVILLE LLC
Authorized official CHRISTY RUTHERFORD - (CFO OFFICE MGR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/28/2018
Last updated 07/11/2018 - About 8 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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