MEDICAL EAST OF DECATUR INC – NPI #1659518553
Clinic/Center

MEDICAL EAST OF DECATUR INC is an AHC clinic located in DECATUR, AL. NPPES has assigned the NPI number 1659518553 to MEDICAL EAST OF DECATUR INC on January 14, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health

The NPI profile was previously updated about 3 years ago on May 23, 2023. 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 MEDICAL EAST OF DECATUR INC below.

NPI Profile for
MEDICAL EAST OF DECATUR INC

NPI Number
1659518553
Enumeration Date

(more than 17 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
MEDICAL EAST OF DECATUR INC
Primary location
2941 POINT MALLARD PKWY SE
STE N
DECATUR, AL 35603-5716
Phone: (256) 432-2822 Fax: (256) 432-2825
Mailing address
2941 POINT MALLARD PKWY SE STE N
DECATUR, AL 35603-5760
Phone: (256) 432-2822 Fax: (256) 432-2825
Organization Subpart
No
Authorized Official
MICHELLE GRAHAM
CLINICAL DIRECTOR
Phone: (256) 432-2822
Updated
Certification Date
May 23, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
261QR1300X
- Clinic/Center / Rural Health (Primary)
363LF0000X
- Nurse Practitioner / Family		 AL 1105407

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.