Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X | |||
Clinic/Center |
261Q00000X | |||
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Urgent Care |
261QU0200X |
| NPI # | 1700614633 |
| LBN Legal business name | AMERICAN FAMILY CARE, LLC |
| Authorized official | RANDY JOHANSEN - (CEO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 07/23/2024 |
| Last updated | 03/27/2025 - More than a year ago |
| Identifiers | n/a |
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