BEAVERTON FAMILY MEDICINE LLC; NPI #1578240511

Contact Information

BEAVERTON FAMILY MEDICINE LLC

12815 HIGHWAY 278
BEAVERTON, AL 35544-2954

Phone: 205-606-1200
Fax:
Website:

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

Indicates primary specialty

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NPI Profile & details for BEAVERTON FAMILY MEDICINE LLC

NPI #	`1578240511`
LBN Legal business name	BEAVERTON FAMILY MEDICINE LLC
Authorized official	MICHAEL BUTLER - (PRACTICE MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/30/2023
Last updated	07/14/2023 - 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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BEAVERTON FAMILY MEDICINE LLC

Contact Information

Specialty

Family

NPI Profile & details for BEAVERTON FAMILY MEDICINE LLC

Reviews for BEAVERTON FAMILY MEDICINE LLC