Provider Demographics
NPI:1366436156
Name:COMPLETE HEALTHCARE CENTER, INC.
Entity type:Organization
Organization Name:COMPLETE HEALTHCARE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:R
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:205-640-1100
Mailing Address - Street 1:2701 MOODY PARKWAY
Mailing Address - Street 2:
Mailing Address - City:MOODY
Mailing Address - State:AL
Mailing Address - Zip Code:35004
Mailing Address - Country:US
Mailing Address - Phone:205-640-1100
Mailing Address - Fax:205-640-4189
Practice Address - Street 1:2701 MOODY PARKWAY
Practice Address - Street 2:
Practice Address - City:MOODY
Practice Address - State:AL
Practice Address - Zip Code:35004
Practice Address - Country:US
Practice Address - Phone:205-640-1100
Practice Address - Fax:205-640-4189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty