Provider Demographics
NPI:1801967245
Name:RHEUMATOLOGY SPECIALISTS ARTHRITIS &OSTEOPOROSIS CENTER
Entity type:Organization
Organization Name:RHEUMATOLOGY SPECIALISTS ARTHRITIS &OSTEOPOROSIS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ELKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-396-8602
Mailing Address - Street 1:500 ARBA ST
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36104-5108
Mailing Address - Country:US
Mailing Address - Phone:334-396-8602
Mailing Address - Fax:334-396-8608
Practice Address - Street 1:500 ARBA ST
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36104-5108
Practice Address - Country:US
Practice Address - Phone:334-396-8602
Practice Address - Fax:334-396-8608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2007-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51000132OtherCOMMERCIAL
ALP00208613OtherMEDICARE RAILROAD CARRIER
ALDD1030OtherMEDICARE RAILROAD CARRIER
AL51000132OtherBLUE CROSS BLUE SHIELD
AL51000132OtherBLUE CROSS BLUE SHIELD