DOCTORS MED CARE PC NPI 1083643167

Clinic/Center (Urgent Care) in Albertville, AL

NPI 1083643167 Organization Clinic/Center Urgent Care CLIA Number 01D0884020 CLIA Certificate of Compliance

About DOCTORS MED CARE PC

Doctors Med Care Pc is a provider established in Albertville, Alabama specializing in clinic/center (urgent care) . The NPI number of Doctors Med Care Pc is 1083643167 and was assigned on July 2006. The practitioner's primary taxonomy code is 261QU0200X with license number 17527 (AL). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Pranav Mishra M.d. (President)

The CLIA number of Doctors Med Care Pc is 01D0884020 registered as a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Doctors Med Care Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI

1083643167

Provider NameDOCTORS MED CARE PC
Provider Location Address604 SMITH RD ALBERTVILLE, AL 35951
Provider Mailing AddressPO BOX 1397 ALBERTVILLE, AL 35950
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-01-2006
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code261QU0200X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationUrgent Care
License No.17527
License StateAL

Business Address

DOCTORS MED CARE PC
604 SMITH RD
ALBERTVILLE, AL
ZIP 35951
Phone: (256) 891-1460

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Mailing Address

DOCTORS MED CARE PC
PO BOX 1397
ALBERTVILLE, AL
ZIP 35950
Phone: (256) 891-1460



Authorized Official

Authorized Official Name PRANAV MISHRA M.D.
Authorized Official TitlePRESIDENT
Authorized Official Phone(256) 891-1460

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1083643167 is:

CLIA Number01D0884020
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Compliance

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013935253 STEPHEN J BABBINO MD
Individual
Family Medicine604 SMITH RD
ALBERTVILLE, AL 35951
(256) 891-1460
1609800531 PRANAV MISHRA MD
Individual
Internal Medicine604 SMITH RD
ALBERTVILLE, AL 35951
(256) 891-1460
1235142845 HILMON D HOLLEY M.D.
Individual
Family Medicine604 SMITH RD
ALBERTVILLE, AL 35951
(256) 891-1460
1205426889 AUDREY CARSON
Individual
Nurse Practitioner (Family)604 SMITH RD
ALBERTVILLE, AL 35951
(256) 891-1460

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.