PREFERRED PEDIATRIC HEALTHCARE (PREFERRED FAMILY HEALTHCARE, LLC) NPI 1386966422

Clinic/Center (Rural Health) in Albertville, AL

NPI 1386966422 Organization Clinic/Center Rural Health CLIA Number 01D2004122 CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP)

About PREFERRED PEDIATRIC HEALTHCARE (PREFERRED FAMILY HEALTHCARE, LLC)

Preferred Pediatric Healthcare (preferred Family Healthcare, Llc) is a primary care provider established in Albertville, Alabama specializing in clinic/center (rural health) . The NPI number of Preferred Pediatric Healthcare (preferred Family Healthcare, Llc) is 1386966422 and was assigned on February 2010. The practitioner's primary taxonomy code is 261QR1300X with license number 1-059298 (AL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Preferred Pediatric Healthcare. The authorized official of this NPI record is Shonnie L Hubbard (Owner)

A primary care provider (PCP) like Preferred Pediatric Healthcare sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

The CLIA number of Preferred Pediatric Healthcare is 01D2004122 registered as a "rural health clinic" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Preferred Pediatric Healthcare in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI

1386966422

Provider NamePREFERRED PEDIATRIC HEALTHCARE (PREFERRED FAMILY HEALTHCARE, LLC)
Provider Location Address5850 US HIGHWAY 431 STE 11 ALBERTVILLE, AL 35950
Provider Mailing AddressPO BOX 516 ALBERTVILLE, AL 35950
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NamePREFERRED PEDIATRIC HEALTHCARE
Other Name TypeDoing Business As (3)
Enumeration Date02-16-2010
Last Update Date05-08-2020


Primary Taxonomy

Taxonomy Code261QR1300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRural Health
License No.1-059298
License StateAL

Business Address

PREFERRED PEDIATRIC HEALTHCARE
5850 US HIGHWAY 431 STE 11
ALBERTVILLE, AL
ZIP 35950
Phone: (256) 878-1053
Fax: (256) 878-9969

Get Directions


Mailing Address

PREFERRED PEDIATRIC HEALTHCARE
PO BOX 516
ALBERTVILLE, AL
ZIP 35950
Phone: (256) 878-1053
Fax: (256) 878-9969



Authorized Official

Authorized Official Name SHONNIE L HUBBARD
Authorized Official TitleOWNER
Authorized Official Phone(256) 878-1053

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 1386966422 is:

CLIA Number01D2004122
Facility TypeRURAL HEALTH CLINIC
Certificate TypeCertificate for Provider-Performed Microscopy Procedures (PPMP)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
121332MEDICAID (05)AL

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.