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FAMILY HEALTH CLINIC OF UNION SPRINGS INC. NPI 1871701482


NPI Information

NPI: 1871701482
Provider Name: FAMILY HEALTH CLINIC OF UNION SPRINGS, INC.
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 01D1069784

Address:
309 PRAIRIE ST NORTH
UNION SPRINGS, AL
ZIP 36089
Phone: (334) 782-8824
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FAMILY HEALTH CLINIC OF UNION SPRINGS, INC. is a rural health clinic center in Union Springs, AL. FAMILY HEALTH CLINIC OF UNION SPRINGS, INC. NPI is 1871701482. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

309 PRAIRIE ST NORTH
UNION SPRINGS, AL
ZIP 36089-418
Phone: (334) 782-8824
Fax: (334) 408-4681

The provider's authorized official is Carol Mcmillan Holder .
The authorized official title is President/ Administrator and has the following contact phone number (334) 473-8795.

The CLIA number assigned to this NPI record is 01D1069784 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 10/11/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine26270ALABAMANo
2363L00000XNurse Practitioner1-031812ALABAMANo
3261QR1300XClinic/CenterRural HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1529932739MEDICAIDALABAMA
2138855MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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