MOULTON PRIMARY CARE CLINIC - NPI 1760930200 - Clinic/Center in Moulton, AL

Q: What is Attentus Moulton, LLC's NPI number?

The NPI number for Attentus Moulton, LLC is 1760930200. It was assigned to this organization in the NPPES registry on September 13, 2016. The provider is doing business as Moulton Primary Care Clinic.

Q: What is Attentus Moulton, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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About Moulton Primary Care Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOULTON PRIMARY CARE CLINIC (NPI 1760930200) is a healthcare organization registered as a rural health in Moulton, Alabama and active in the NPI registry since September 2016. The organization lists Christy Louallen, Credentialing/billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1760930200

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameATTENTUS MOULTON, LLC

Location Address40 MEDICAL CIRMoulton, AL 35650-1256

Mailing AddressPo Box 340Moulton, AL 35650-0340 · (256) 974-2207 · Fax (256) 974-8211

Phone(256) 974-0606

Fax(256) 522-2227

Organization SubpartNo

Authorized OfficialChristy LouallenCredentialing/billing Supervisor · (256) 974-2207

Enumeration DateSeptember 13, 2016

Last NPPES UpdateJuly 25, 20192 updates tracked since enumeration

✔ NPI 1760930200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

40 MEDICAL CIR, Moulton, AL 35650

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Other Names 1

Doing Business AsMoulton Primary Care Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2116647

Moulton Primary Care Clinic · Moulton, AL

Expired · Jul 28, 2026

CLIA Number01D2116647

Laboratory TypeRural Health Clinic

Certificate Effective DateJuly 29, 2024

Certificate Expiration DateJuly 28, 2026

Laboratory DirectorSamuel N. Gillespie

Laboratory Phone(256) 974-2225

Laboratory LocationMoulton Primary Care Clinic40 Medical Circle, Moulton, AL 35650

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EARRACE MORRIS CRNP

Nurse Practitioner (Acute Care)