NPI Record of TALLADEGA PRIMARY AND URGENT CARE CENTER (REGIONAL HEALTH MANAGEMENT CORPORATION) NPI 1821150087

Specialist in Talladega, AL

Complete NPI Record

Field Name Value Definition
NPI1821150087The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code2Code describing the type of health care provider that is being assigned an NPI. 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 (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EINUNAVAILThe Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business NameREGIONAL HEALTH MANAGEMENT CORPORATIONThe name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Other Organization NameTALLADEGA PRIMARY AND URGENT CARE CENTEROther name by which the organization provider is or has been known.
Provider Other Organization Name Type Code3Code identifying the type of other 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 First Line Business Mailing Address803 NORTH ST EThe first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City NameTALLADEGAThe city name in the mailing address of the provider being identified.
Provider Business Mailing Address State NameALThe State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code351602529The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S USThe country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number2563621600The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number2563628698The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address803 NORTH ST EThe first line 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 Business Practice Location Address City NameTALLADEGAThe city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameALThe State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code351602529The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S USThe country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number2563621600The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number2563628698The fax number associated with the location address of the provider being identified.
Provider Enumeration Date12/14/2006The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date1/3/2012The date that a record was last updated or changed.
Authorized Official Last NameBRYANTThe last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameKAYEThe first name of the authorized official.
Authorized Official Middle NameCThe middle name of the authorized official.
Authorized Official Title or PositionOFFICE MANAGERThe title or position of the authorized official.
Authorized Official Telephone Number2563621600The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1174400000XCode designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1Y
Is Organization SubpartN
Authorized Official Name Prefix TextMRS.
Healthcare Provider Taxonomy Group 1193200000X MULTI-SPECIALTY GROUP