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Lakeshore Pediatrics PC

Rural Health Clinic/Center in Moulton, AL · enumerated 2013 · authorized official Agustin Rivas, Owner.

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

National Provider Identifier

1801238787

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Registry record

Entity type Organization (Type 2)
Legal business name Lakeshore Pediatrics PC
Practice address 12521 Al Highway 157 Ste B, Moulton, AL, 35650
Phone (256) 974-6300
Enumeration date Jul 22, 2013
Last updated in NPPES Jul 22, 2013

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities · License 17108 (AL) Primary

Authorized official

Name Agustin Rivas
Title Owner
Phone (256) 386-4151

Other identifiers

Identifier Type State Issuer
1588002455 Medicaid AL -

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 type of organization is Lakeshore Pediatrics PC?
Lakeshore Pediatrics PC is registered in NPPES as a Rural Health Clinic/Center (its primary provider taxonomy).
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.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-07-22.