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Heart Group Of The Eastern Shore, P.c.
Clinic/Center in Fairhope, Alabama
NPI 1609095157

Heart Group Of The Eastern Shore, P.c. is a Clinic/Center based in Mobile, AL. Heart Group Of The Eastern Shore, P.c. practices in Fairhope, AL. The NPI Number for Heart Group Of The Eastern Shore, P.c. is 1609095157 and holds a License No. 25610 (Alabama).

The current practice location address for Heart Group Of The Eastern Shore, P.c. is 150 S. Ingleside Street, Fairhope, AL and can be reached out via phone at 251-990-1920 and via fax at 251-990-1921.

Location: 150 S. Ingleside Street, Fairhope, AL, 36685-0266
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609095157
Provider Name
Heart Group Of The Eastern Shore, P.c.
Credential
Provider Entity Type
Organization
Address
150 S. Ingleside Street, Fairhope, AL, 36685-0266
Phone Number
251-990-1920
Fax Number
251-990-1921
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009936436 05 AL
009936467 05 AL
1609095157 01 AL GRP NPI
51503479 01 AL BC/MC
DE4413 01 AL RR MEDICARE FOR GROUP
009936433 05 AL
051554382 05 AL
05538519 05 MS
1467430777 01 AL NPI
1689678674 01 AL BRAND NPI
K814 01 AL MEDICARE GRP
529927690 01 AL GRP MEDICAID
51541652 01 AL MEDICARE BRAND
P00082012 01 AL RR MEDICARE
009936434 05 AL
institution
Provider Business Practice Location Address Details
Address
150 S. Ingleside Street
City
Fairhope
State
Alabama
Zip
36532-1804
Phone Number
251-990-1920
Fax Number
251-990-1921
person
Provider Business Mailing Address Details
Address
150 S. Ingleside Street
City
Fairhope
State
Alabama
Zip
36532-1804
Phone Number
251-990-1920
Fax Number
251-990-1921
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
25610 (Alabama)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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