# EASTERN SHORE HEALTH CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Suzanne Tormoen, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447459748
- **Authorized official:** DR. SUZANNE TORMOEN MD (MANAGER)
- **Authorized official phone:** (251) 990-2292

## Contact information

- **Practice address:** 908 PLANTATION BLVD, FAIRHOPE, AL 36532-2952
- **Practice address phone:** (251) 990-2292
- **Practice address fax:** (251) 990-2293
- **Mailing address:** 908 PLANTATION BLVD, FAIRHOPE, AL 36532-2952
- **Mailing address phone:** (251) 990-2292
- **Mailing address fax:** (251) 990-2293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | AL | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/16/2007
- **Last updated:** 04/14/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000095646 | — | AL |
| 01 | — | 11454869 | UNITED HEALTH CARE | AL |
| 01 | — | 1266173 | AHCCS | — |
| 01 | — | 1356309496 | NPI FOR DR. SUZANNETORMOE | AL |
| 01 | — | 510-95646 | BCBS | AL |