|Provider Name||KOLBE CLINIC B, LLC|
|Provider Location Address||109 FOOTHILLS PKWY STE 113 CHELSEA, AL 35043|
|Provider Mailing Address||1830 MONTCLAIR RD STE A IRONDALE, AL 35210|
|NPI Entity Type||Organization|
|Is Sole Proprietor?||N/A|
|Is Organization Subpart?||No|
|Last Update Date||03-05-2021|
KOLBE CLINIC B, LLC
109 FOOTHILLS PKWY STE 113
Phone: (205) 618-9899
Fax: (205) 618-9706
KOLBE CLINIC B, LLC
1830 MONTCLAIR RD STE A
Phone: (205) 775-0300
Fax: (205) 618-9706
193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
|No.||Taxonomy Code||Type||Classification||Specialization||License No.||State||Primary|
|1||101YA0400X||Behavioral Health & Social Service Providers||Counselor||Addiction (Substance Use Disorder)||No|
Taxonomy Description: Not Available
|2||207QA0401X||Allopathic & Osteopathic Physicians||Family Medicine||Addiction Medicine||No|
Taxonomy Description: a family medicine physician who specializes in the diagnosis and treatment of addictions.
|3||207RG0100X||Allopathic & Osteopathic Physicians||Internal Medicine||Gastroenterology||No|
Taxonomy Description: an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
|4||2084A0401X||Allopathic & Osteopathic Physicians||Psychiatry & Neurology||Addiction Medicine||No|
Taxonomy Description: a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Other Providers at the same location
The following 2 providers are registered at the same or nearby location.
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.