Provider Demographics
NPI:1184718512
Name:RUBENSTEIN FAMILY MEDICAL ASSOCIATES
Entity type:Organization
Organization Name:RUBENSTEIN FAMILY MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:RUBENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:251-675-5034
Mailing Address - Street 1:1084 INDUSTRIAL PARKWAY
Mailing Address - Street 2:SUITE C
Mailing Address - City:SARALAND
Mailing Address - State:AL
Mailing Address - Zip Code:36571-3725
Mailing Address - Country:US
Mailing Address - Phone:251-675-5034
Mailing Address - Fax:251-675-8511
Practice Address - Street 1:1084 INDUSTRIAL PARKWAY
Practice Address - Street 2:SUITE C
Practice Address - City:SARALAND
Practice Address - State:AL
Practice Address - Zip Code:36571-3725
Practice Address - Country:US
Practice Address - Phone:251-675-5034
Practice Address - Fax:251-675-8511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD10612261QM1300X
MD10612261QM1300X
207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51048327OtherBCBS
AL009937236Medicaid
ALC72766Medicare UPIN
AL009937236Medicaid
000013116Medicare Oscar/Certification