National Provider Identifier Database

HEALTHSOURCE OF HUNTSVILLE LLC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

HEALTHSOURCE OF HUNTSVILLE, LLC
930 BOB WALLACE AVE SW STE 225
HUNTSVILLE, AL35801-5644
Phone: 256-964-6678
Fax: 256-964-6660
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for HEALTHSOURCE OF HUNTSVILLE, LLC

NPI Number 1609209253
Legal business name
LBN
HEALTHSOURCE OF HUNTSVILLE, LLC
Authorized official SARAH JACOBS - (MANAGING MEMBER)
Entity Organization
Organization subpart No
Enumeration date 08/19/2013
Last updated 11/03/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • AL License #: 2227
  • AL Other: 1417146143 INDIVIDUAL NPI

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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