SOUTHERN RAPID CARE, LLC NPI 1679922439

Clinic/Center (Urgent Care) in Orange Beach, AL

NPI 1679922439 Organization Clinic/Center Urgent Care CLIA Number 01D2111530 CLIA Certificate of Compliance

About SOUTHERN RAPID CARE, LLC

Southern Rapid Care, Llc is a provider established in Orange Beach, Alabama specializing in clinic/center (urgent care) . The NPI number of Southern Rapid Care, Llc is 1679922439 and was assigned on June 2016. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Shelia Stephens Crnp (Nurse Practitioner)

The CLIA number of Southern Rapid Care, Llc is 01D2111530 registered as a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Southern Rapid Care, Llc 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

1679922439

Provider NameSOUTHERN RAPID CARE, LLC
Provider Location Address25910 CANAL RD # D ORANGE BEACH, AL 36561
Provider Mailing Address25910 CANAL RD # D ORANGE BEACH, AL 36561
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-11-2016
Last Update Date06-11-2016


Primary Taxonomy

Taxonomy Code261QU0200X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationUrgent Care

Business Address

SOUTHERN RAPID CARE, LLC
25910 CANAL RD # D
ORANGE BEACH, AL
ZIP 36561
Phone: (251) 981-2273

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Mailing Address

SOUTHERN RAPID CARE, LLC
25910 CANAL RD # D
ORANGE BEACH, AL
ZIP 36561
Phone: (251) 981-2273



Authorized Official

Authorized Official Name SHELIA STEPHENS CRNP
Authorized Official TitleNURSE PRACTITIONER
Authorized Official Phone(205) 862-8090

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 1679922439 is:

CLIA Number01D2111530
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Compliance

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.