Lamar Primary Care LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

LAMAR PRIMARY CARE LLC

Practice address

13530 Highway 96
Millport, AL 35576-2522

Phone

(205) 662-5784

Fax

(205) 662-5786

NPI assigned

Mar 4, 2015

Last updated

Mar 4, 2015By 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

Mrs. Alice M Trull

Title

Administrator and Officer

Phone

(205) 662-5784

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1790177459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13530 HIGHWAY 96",
            "city": "MILLPORT",
            "state": "AL",
            "postal_code": "355762522",
            "telephone_number": "205-662-5784",
            "fax_number": "205-662-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 HIGHWAY 96",
            "city": "MILLPORT",
            "state": "AL",
            "postal_code": "355762522",
            "telephone_number": "205-662-5784",
            "fax_number": "205-662-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMAR PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "TRULL",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR AND OFFICER",
        "authorized_official_telephone_number": "205-662-5784",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Millport, AL
• Providers in Millport, AL by specialty
• Health Maintenance Organization in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.