Family Health Clinic of Union Springs, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

9450011701 Issued in AL

Legal business name

FAMILY HEALTH CLINIC OF UNION SPRINGS, INC.

Practice address

309 Prairie St N
Union Springs, AL 36089-1418

Phone

(334) 473-8795

Fax

(334) 408-4681

NPI assigned

Apr 25, 2018

Organization subpart

No

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

Authorized official

Name

Carol McMillan Holder, CRNPNPI 1184803066

Title

Administrator

Phone

(334) 473-8795

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol McMillan Holder, CRNP

  • Nurse Practitioner
  • Union Springs, AL
  • NPI 1184803066
  NPD Authorized official

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1073001053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 PRAIRIE ST N",
            "city": "UNION SPRINGS",
            "state": "AL",
            "postal_code": "360891418",
            "telephone_number": "334-473-8795",
            "fax_number": "334-408-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PRAIRIE ST N",
            "city": "UNION SPRINGS",
            "state": "AL",
            "postal_code": "360891418",
            "telephone_number": "334-473-8795",
            "fax_number": "334-408-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CLINIC OF UNION SPRINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "MCMILLAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-473-8795",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AL",
            "license": "9450011701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138855",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Regina Edwards, CRNP
• Kimberly Ellison
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• Exquisite Coiffures Hair Boutique LLC
• Family Health Clinic of Union Springs, Inc.
• Evergreen Freeman
• Fresenius Kidney Care Union Springs, LLC
• Lisa Glasscock, RPH
• Erick Allen Greer Jr.

• All providers in Union Springs, AL
• Rural Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.