Provider Demographics
NPI:1912036914
Name:LLOYDS GROUP INC
Entity Type:Organization
Organization Name:LLOYDS GROUP INC
Other - Org Name:HEFLIN RURAL HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-835-2400
Mailing Address - Street 1:938 ROSS ST
Mailing Address - Street 2:
Mailing Address - City:HEFLIN
Mailing Address - State:AL
Mailing Address - Zip Code:36264-1134
Mailing Address - Country:US
Mailing Address - Phone:256-238-7100
Mailing Address - Fax:256-238-7200
Practice Address - Street 1:938 ROSS ST
Practice Address - Street 2:
Practice Address - City:HEFLIN
Practice Address - State:AL
Practice Address - Zip Code:36264-1134
Practice Address - Country:US
Practice Address - Phone:256-238-7100
Practice Address - Fax:256-238-7200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL26816207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009941458Medicaid
AL009913117Medicaid
AL009939281Medicaid
AL009939281Medicaid