Organization Active NPI

Primecare Occupational Medicine, LLC

  • Occupational Medicine Clinic/Center
  • Dothan, AL
National Provider Identifier
1578676102
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
PRIMECARE OCCUPATIONAL MEDICINE, LLC
Practice address
301 Westgate Pkwy
Suite 2
Dothan, AL 36303-2962
Phone
(334) 836-0004
Fax
(334) 671-0220
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Christie M McLean
Title
Office Manager
Phone
(334) 836-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

301 Westgate Pkwy
Suite 2
Dothan, AL 36303-2962

Mailing address

301 Westgate Pkwy
Suite 2
Dothan, AL 36303-2962
Phone (334) 836-0004

National Provider Directory

National Provider Directory

Locations

301 Westgate Pkwy
Ste 2
Dothan, AL 36303
Phone (334) 836-0004

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578676102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WESTGATE PKWY",
            "address_2": "SUITE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032962",
            "telephone_number": "334-836-0004",
            "fax_number": "334-671-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WESTGATE PKWY",
            "address_2": "SUITE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032962",
            "telephone_number": "334-836-0004",
            "fax_number": "334-671-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE OCCUPATIONAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-836-0004",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.