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Reagan'S Clinic, LLC

Developmental - Behavioral Pediatrics Physician in Madison, AL · enumerated 2024 · authorized official Marc Hultquist, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558123190

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Registry record

Entity type Organization (Type 2)
Legal business name Reagan'S Clinic, LLC
Practice address 12205 County Line Rd Ste C, Madison, AL, 35758
Phone (563) 424-0459
Enumeration date Jan 29, 2024
Last updated in NPPES Feb 23, 2024

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
2080P0006X Developmental - Behavioral Pediatrics Physician Allopathic & Osteopathic Physicians Primary
2080P0008X Pediatric Neurodevelopmental Disabilities Physician Allopathic & Osteopathic Physicians Secondary
261QD1600X Developmental Disabilities Clinic/Center Ambulatory Health Care Facilities Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Marc Hultquist
Title Ceo
Phone (256) 258-8319

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Reagan'S Clinic, LLC?
Reagan'S Clinic, LLC is registered in NPPES as a Developmental - Behavioral Pediatrics Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-23.