AGAPE MEDICAL CLINIC PC; NPI #1174643852

Contact Information

AGAPE MEDICAL CLINIC PC

1911 MILITARY ST S
HAMILTON, AL 35570

Phone: 205-952-9603
Fax: 205-952-9661
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for AGAPE MEDICAL CLINIC PC

NPI # 1174643852

LBN Legal business name AGAPE MEDICAL CLINIC PC

Authorized official DOROTHY STIDHAM - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/29/2007

Last updated 11/10/2022 - About 4 years ago

Identifiers

AL	License #	1061751
AL	Medicaid	051552982STI

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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AGAPE MEDICAL CLINIC PC

Contact Information

Specialty

Family

NPI Profile & details for AGAPE MEDICAL CLINIC PC

Reviews for AGAPE MEDICAL CLINIC PC