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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 Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for HEALTHSOURCE OF HUNTSVILLE, LLC

NPI # 1609209253
LBN Legal business name HEALTHSOURCE OF HUNTSVILLE, LLC
Authorized official SARAH JACOBS - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/19/2013
Last updated 11/03/2022 - About 4 years ago
Identifiers
AL License # 2227
AL Other 1417146143 INDIVIDUAL NPI
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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