Organization
EMERGI-CARE CLINICI, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP KELLEY BOBO M.D. (PRESIDENT/OWNER)
(205) 349-2273
Entity
Organization
Contact information
Practice address
1601 UNIVERSITY BLVD E, TUSCALOOSA, AL 35404-2920
(205) 349-2273
Mailing address
1601 UNIVERSITY BLVD E, TUSCALOOSA, AL 35404-2920
(205) 349-2273
(205) 553-0299
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
AL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0002X
Clinic Pharmacy
ASEP #0133467
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133467
ASEP
—
Enumeration date
04/25/2006
Last updated
10/18/2022
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