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1518631514 NPI number — PREMISE HEALTH OF ALABAMA MEDICAL PC

NPI Number: 1518631514
Health Care Provider/Practitioner: PREMISE HEALTH OF ALABAMA MEDICAL PC

Information about “1518631514” NPI (PREMISE HEALTH OF ALABAMA MEDICAL PC) exists in 1518631514 in HTML format HTML  |  1518631514 in plain Text format TXT  |  1518631514 in PDF (Portable Document Format) PDF  |  1518631514 in an XML format XML  formats.

NPI Number : 1518631514 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518631514",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PREMISE HEALTH OF ALABAMA MEDICAL PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5500 MARYLAND WAY STE 120",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRENTWOOD",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37027-4993",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "205-507-2900",
    "MailingAddressFaxNumber": "205-507-2950",
    "FirstLinePracticeLocationAddress": "33 DAIMLER BENZ BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VANCE",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35490",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "205-507-2900",
    "PracticeLocationAddressFaxNumber": "205-507-2950",
    "EnumerationDate": "08/03/2021",
    "LastUpdateDate": "09/24/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LEIZMAN",
    "AuthorizedOfficialFirstName": "JON",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "216-479-9063",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM1300X",
        "TaxonomyName": "Multi-Specialty Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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