VALLEY MEDICAL AND URGENT CARE, LLC NPI 1831782689

Nurse Practitioner (Acute Care) in Muscle Shoals, AL

NPI 1831782689 Organization Nurse Practitioner Acute Care CLIA Number 01D2214826 CLIA Certificate of Waiver

About VALLEY MEDICAL AND URGENT CARE, LLC

Valley Medical And Urgent Care, Llc is a provider established in Muscle Shoals, Alabama specializing in nurse practitioner (acute care) . The NPI number of Valley Medical And Urgent Care, Llc is 1831782689 and was assigned on February 2021. The practitioner's primary taxonomy code is 363LA2100X. The provider is registered as an organization and their NPI record was last updated one year ago. Valley Medical And Urgent Care, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Russell Bien Np (Member)

A nurse practitioner (NP) like Valley Medical And Urgent Care, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

The CLIA number of Valley Medical And Urgent Care, Llc is 01D2214826 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Valley Medical And Urgent Care, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1831782689

Provider NameVALLEY MEDICAL AND URGENT CARE, LLC
Provider Location Address1110 E 6TH ST STE D MUSCLE SHOALS, AL 35661
Provider Mailing Address1110 E 6TH ST STE D MUSCLE SHOALS, AL 35661
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-12-2021
Last Update Date05-11-2021


Primary Taxonomy

Taxonomy Code363LA2100X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationAcute Care

Business Address

VALLEY MEDICAL AND URGENT CARE, LLC
1110 E 6TH ST STE D
MUSCLE SHOALS, AL
ZIP 35661
Phone: (256) 397-8842
Fax: (256) 382-3364

Get Directions


Mailing Address

VALLEY MEDICAL AND URGENT CARE, LLC
1110 E 6TH ST STE D
MUSCLE SHOALS, AL
ZIP 35661
Phone: (256) 397-8842
Fax: (256) 382-3364



Authorized Official

Authorized Official Name RUSSELL BIEN NP
Authorized Official TitleMEMBER
Authorized Official Phone(256) 397-8842

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 1831782689 is:

CLIA Number01D2214826
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


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
1207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineNo

Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
264331MEDICAID (05)AL

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407944796DR. JOEL L BRIDGEWATER M.D.
Individual
Emergency Medicine1110 E 6TH ST STE D
MUSCLE SHOALS, AL 35661
(256) 397-8842
1245449271MR. RUSSELL RILEY BIEN CRNP
Individual
Nurse Practitioner (Acute Care)1110 E 6TH ST STE D
MUSCLE SHOALS, AL 35661
(256) 397-8842

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.