Provider Demographics
NPI:1346213881
Name:NORTH ALABAMA CARDIOLOGY CENTER
Entity Type:Organization
Organization Name:NORTH ALABAMA CARDIOLOGY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LARUE
Authorized Official - Middle Name:S
Authorized Official - Last Name:SALSTER
Authorized Official - Suffix:
Authorized Official - Credentials:RCS, RVS
Authorized Official - Phone:256-546-6200
Mailing Address - Street 1:503 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-5103
Mailing Address - Country:US
Mailing Address - Phone:256-546-6200
Mailing Address - Fax:256-546-6250
Practice Address - Street 1:503 S 5TH ST
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5103
Practice Address - Country:US
Practice Address - Phone:256-546-6200
Practice Address - Fax:256-546-6250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-07
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00017905207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000033737Medicaid
AL009925365Medicaid
AL529602070Medicaid
AL0801897772OtherDR PATEL NPI
AL0518968494OtherDR NARAYAN NPI
DA9389OtherRAILROAD MEDICARE GRP ID
AL529602070Medicaid
AL0518968494OtherDR NARAYAN NPI
DA9389OtherRAILROAD MEDICARE GRP ID
AL000033737Medicaid
DA9389Medicare PIN
AL0801897772OtherDR PATEL NPI
AL051553858Medicare ID - Type UnspecifiedDR NARAYAN MEDICARE
J397Medicare PIN