MILLPORT INTERNAL MEDICINE NPI 1801975958

Clinic/Center (Medical Specialty) in Millport, AL

NPI 1801975958 Organization Clinic/Center Medical Specialty

About MILLPORT INTERNAL MEDICINE

Millport Internal Medicine is a provider established in Millport, Alabama specializing in clinic/center (medical specialty) . The NPI number of Millport Internal Medicine is 1801975958 and was assigned on November 2006. The practitioner's primary taxonomy code is 261QM2500X. 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 Mr. Robert Enoch Swanson (Managing Partner)

NPI

1801975958

Provider NameMILLPORT INTERNAL MEDICINE
Provider Location Address13530 HIGHWAY 96 MILLPORT, AL 35576
Provider Mailing Address13530 HIGHWAY 96 MILLPORT, AL 35576
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-02-2006
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code261QM2500X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMedical Specialty
Taxonomy DescriptionAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Business Address

MILLPORT INTERNAL MEDICINE
13530 HIGHWAY 96
MILLPORT, AL
ZIP 35576
Phone: (205) 662-5784

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Mailing Address

MILLPORT INTERNAL MEDICINE
13530 HIGHWAY 96
MILLPORT, AL
ZIP 35576
Phone: (205) 662-5784



Authorized Official

Authorized Official NameMR. ROBERT ENOCH SWANSON
Authorized Official TitleMANAGING PARTNER
Authorized Official Phone(205) 662-5784

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508851486 ROBERT ENOCH SWANSON CRNP
Individual
Nurse Practitioner (Family)13530 HIGHWAY 96
MILLPORT, AL 35576
(205) 662-5784
1790177459LAMAR PRIMARY CARE LLC
Organization
Health Maintenance Organization13530 HIGHWAY 96
MILLPORT, AL 35576
(205) 662-5784
1265561328MILLPORT FAM PRACTICE CLINIC, LLC
Organization
Clinic/Center13530 HIGHWAY 96
MILLPORT, AL 35576
(205) 662-5784
1063871184FMC MEDICAL CLINIC MILLPORT
Organization
Family Medicine13530 HIGHWAY 96
MILLPORT, AL 35576
(205) 662-3207
1730593625MRS. HANNAH L LIVINGSTON CRNP
Individual
Nurse Practitioner13530 HIGHWAY 96
MILLPORT, AL 35576
(205) 662-3207
1245233667 DAVID CLYDE CALL DO
Individual
Internal Medicine13530 HIGHWAY 96
MILLPORT, AL 35576
(205) 662-3207
1902984032MILLPORT FAMILY PRACTICE CLINIC, LLC
Organization
Clinic/Center (Rural Health)13530 HIGHWAY 96
MILLPORT, AL 35576
(205) 662-5784

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.