NPIMap

Organization Active NPI

Lillian Medical Clinic, PC

  • Point of Service
  • Lillian, AL
National Provider Identifier
1629248190
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
6346 Issued in AL
Legal business name
LILLIAN MEDICAL CLINIC, PC
Practice address
34463 US Highway 98
Lillian, AL 36549-4049
Phone
(251) 962-4362
Fax
(251) 962-4363
NPI assigned
Mar 11, 2008
Last updated
Apr 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Dr. Radcliffe J Coyle, M.D., M.P.H.
Title
Dr. / Owner
Phone
(251) 962-4362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 6346 AL Primary

Addresses

Primary practice location

34463 US Highway 98
Lillian, AL 36549-4049

Mailing address

PO Box 389
Lillian, AL 36549-0389
Phone (251) 962-4362

Other names 1

  • LILLIAN CONVENIENT CARE Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1629248190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "LILLIAN",
            "state": "AL",
            "postal_code": "365490389",
            "telephone_number": "251-962-4362",
            "fax_number": "251-962-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34463 US HIGHWAY 98",
            "city": "LILLIAN",
            "state": "AL",
            "postal_code": "365494049",
            "telephone_number": "251-962-4362",
            "fax_number": "251-962-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIAN MEDICAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "COYLE",
        "authorized_official_first_name": "RADCLIFFE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DR. / OWNER",
        "authorized_official_telephone_number": "251-962-4362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "AL",
            "license": "6346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LILLIAN CONVENIENT CARE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lillian, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.