FAMILY HEALTH CARE CLINIC, INC.; NPI #1184857195

Contact Information

FAMILY HEALTH CARE CLINIC, INC.

1304 13TH AVE SE
SUITE A
DECATUR, AL 35601

Phone: 601-825-7280
Fax: 601-825-8130
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for FAMILY HEALTH CARE CLINIC, INC.

NPI Number 1184857195

LBN Legal business name FAMILY HEALTH CARE CLINIC, INC.

Authorized official KARINA CLAYTON - (CHIEF FINANCIAL OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/25/2009

Last updated 07/03/2018 - About 8 years ago

Identifiers

Medicaid

116356

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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