THCP Bham Al 1 LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

THCP BHAM AL 1 LLC

Practice address

3829 Lorna Rd
Suite 312
Hoover, AL 35244-7034

Phone

(949) 525-1069

NPI assigned

Aug 28, 2015

Last updated

May 24, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles Burbage

Title

Owner

Phone

(949) 525-1069

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495584000000",
    "number": "1164899878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 LORNA RD",
            "address_2": "SUITE 312",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352447034",
            "telephone_number": "949-525-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 LORNA RD",
            "address_2": "SUITE 312",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352447034",
            "telephone_number": "949-525-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THCP BHAM AL 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2017-05-24",
        "status": "A",
        "authorized_official_last_name": "BURBAGE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-525-1069"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Hoover, AL
• Providers in Hoover, AL by specialty
• Multi-Specialty Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.