Provider Demographics
NPI:1053069328
Name:MMP HEALTHCARE GROUP
Entity Type:Organization
Organization Name:MMP HEALTHCARE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NIGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-323-1289
Mailing Address - Street 1:56 HUGHES RD UNIT 1792
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-6573
Mailing Address - Country:US
Mailing Address - Phone:256-323-1289
Mailing Address - Fax:
Practice Address - Street 1:250 CHATEAU DR SW STE 216
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3497
Practice Address - Country:US
Practice Address - Phone:256-323-1289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty