GORDO PRIMARY CARE CLINIC – NPI #1134473952
Clinic/Center

GORDO PRIMARY CARE CLINIC is an AHC clinic located in GORDO, AL. NPPES has assigned the NPI number 1134473952 to GORDO PRIMARY CARE CLINIC on October 31, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GORDO PRIMARY CARE CLINIC” is a dba name, the actual legal business name for this organization is PICKENS COUNTY HEALTH CARE AUTHORITY. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GORDO PRIMARY CARE CLINIC below.

NPI Profile for
PICKENS COUNTY HEALTH CARE AUTHORITY

NPI Number
1134473952
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PICKENS COUNTY HEALTH CARE AUTHORITY
Doing Business As (dba): GORDO PRIMARY CARE CLINIC
Primary location
27340 HIGHWAY 86
GORDO, AL 35466-3578
Phone: (205) 364-7135 Fax: (205) 364-8244
Mailing address
PO BOX 360
CARROLLTON, AL 35447-0360
Phone: (205) 364-7135 Fax: (205) 364-8244
Organization Subpart
No
Authorized Official
REGINA BEAMS
UNIT LEADER PHYSICIAN SEVICES
Phone: (205) 367-8111
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.