Family Health Care Clinic, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

FAMILY HEALTH CARE CLINIC, INC.

Practice address

925 4TH St NW
Red Bay, AL 35582-3953

Phone

(601) 825-7280

Fax

(601) 825-8130

NPI assigned

Aug 25, 2009

Last updated

Oct 2, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Margaret A Gray, DPA

Title

President & Ceo

Phone

(601) 825-7280

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1003049081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24116",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392254116",
            "telephone_number": "601-825-7280",
            "fax_number": "601-825-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 4TH ST NW",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355823953",
            "telephone_number": "601-825-7280",
            "fax_number": "601-825-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CARE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "601-825-7280",
        "authorized_official_credential": "DPA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colbert County-Northwest Alabama Healthcare Authority (Red Bay Hospital)
• Kristy Lynn Crandell, M.D.
• Stacy Credille, R.PH.
• Dr. James Nabers DO PC (Nabers Family Medical Clinic)
• Raynard G. Fabianke, M.D.
• Devin Fancher
• Isabella Grace Fowler
• Generations of Red Bay, LLC
• Kaitlin Paige Gresham, CRNP
• Gum Creek Enterprises Inc (Comfacare Home Health Supply)

• Federally Qualified Health Center (FQHC) in Red Bay, AL
• Providers in Red Bay, AL by specialty
• Federally Qualified Health Center (FQHC) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.