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Healthsource Of Huntsville, Llc
Preferred Provider Organization in Huntsville, Alabama
NPI 1609209253

Healthsource Of Huntsville, Llc is a Preferred Provider Organization based in Huntsville, AL. Healthsource Of Huntsville, Llc practices in Huntsville, AL. The NPI Number for Healthsource Of Huntsville, Llc is 1609209253 and holds a License No. 2227 (Alabama).

The current practice location address for Healthsource Of Huntsville, Llc is 930 Bob Wallace Ave Sw Ste 225, Huntsville, AL and can be reached out via phone at 256-964-6678 and via fax at 256-964-6660.

Location: 930 Bob Wallace Ave Sw Ste 225, Huntsville, AL, 35801-5644
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609209253
Provider Name
Healthsource Of Huntsville, Llc
Credential
Provider Entity Type
Organization
Address
930 Bob Wallace Ave Sw Ste 225, Huntsville, AL, 35801-5644
Phone Number
256-964-6678
Fax Number
256-964-6660
Provider Enumeration Date
08/19/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417146143 01 AL INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
930 Bob Wallace Ave Sw Ste 225
City
Huntsville
State
Alabama
Zip
35801-5644
Phone Number
256-964-6678
Fax Number
256-964-6660
person
Provider Business Mailing Address Details
Address
930 Bob Wallace Ave Sw Ste 225
City
Huntsville
State
Alabama
Zip
35801-5644
Phone Number
256-964-6678
Fax Number
256-964-6660
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
2227 (Alabama)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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