NPIMap

Organization Active NPI

Franklin Primary Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
National Provider Identifier
1104895952
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FRANKLIN PRIMARY HEALTH CENTER, INC.
Practice address
1201 Spring Hill Ave
Mobile, AL 36604-2717
Phone
(251) 694-1810
Fax
(251) 694-1890
NPI assigned
Mar 15, 2006
Organization subpart
Yes
Parent organization
FRANKLIN PRIMARY HEALTH CENTER INC.As reported in NPPES

Authorized official

NPPES NPI Registry
Name
Mr. Charles White
Title
Chief Executive Officer
Phone
(251) 432-4117

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 25

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 25

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 19

Practitioners 57

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

View all 57

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040618000827 AL Part B Supplier - Clinic/Group Practice 1658356308 Receives reassigned benefits from 126 practitioners
25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mobile, AL; Prichard, AL; Uriah, AL; Frisco City, AL; Loxley, AL; Brewton, AL; Evergreen, AL; Foley, AL…
O20080521000796 AL Part A Provider - Federally Qualified Health Center (FQHC) 1658356308 1 other NPI on this enrollment
Practice locations: Mobile, AL

Federally qualified health center certification: CCN 011881

Legal name
FRANKLIN PRIMARY HEALTH CENTER, INC.
Doing business as
H.E. SAVAGE MEMORIAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Jan 31, 1975 in AL
Enrollment address
1201 Spring Hill Ave
Mobile, AL 36604-2717

All disclosed owners & managing parties 11

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Myrtis Jones Individual Corporate OfficerOfficer Jun 21, 2014
Myriam Brister Individual Corporate OfficerOfficer Jun 21, 2014
Larry Coleman Individual Corporate DirectorBoard Member Jan 1, 2011
Chris McGadney Individual Corporate OfficerOfficer Jun 21, 2014
Ronald Martin Individual Corporate OfficerOfficer Jun 21, 2014
Herman Harville Individual Corporate OfficerOfficer Jun 21, 2014
Rosa Hart Individual Corporate OfficerOfficer Jun 21, 2014
Stan Chavis Individual Corporate OfficerOfficer Jun 21, 2014
Lula Ifill Individual Corporate OfficerOfficer Jun 21, 2014
Sydney Raine Individual Corporate OfficerOfficer Jun 21, 2014
Charles White Individual 5% Or Greater Indirect Ownership InterestCeo Mar 14, 2022
Corporate DirectorCeo Mar 14, 2002
W-2 Managing Employee Jun 21, 2014

All facility ownership & control disclosures 1

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Foley School Based Health CenterFoley, AL, CCN 011028 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 1, 2016

National Provider Directory

National Provider Directory
Tax ID family
Franklin Memorial Prim25 organizations share this tax ID, including this one
Part of
Franklin Memorial Prim

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

1628 S McKenzie St Ste 102
Foley, AL 36535

140 Front St
Gilbertown, AL 36908
Phone (251) 276-2944

801 S University Blvd
Mobile, AL 36609
Phone (251) 342-5323

572 Stanton Rd
Mobile, AL 36617
Phone (251) 444-1000

510 S Wilson Ave
Prichard, AL 36610
Phone (251) 301-7011

Specialties & licenses 7

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X
Community Health Clinic/Center 261QC1500X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

NPPES NPI Registry

Primary practice location

1201 Spring Hill Ave
Mobile, AL 36604-2717

Mailing address

PO Box 2048
Mobile, AL 36652-2048
Phone (251) 434-8177

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
630005014MedicaidAL

Other names 1

NPPES NPI Registry
  • H E Savage Memorial Ctr Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 24, 2022.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1104895952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2048",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366522048",
            "telephone_number": "251-434-8177",
            "fax_number": "251-436-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366042717",
            "telephone_number": "251-694-1810",
            "fax_number": "251-694-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN PRIMARY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANKLIN PRIMARY HEALTH CENTER INC.",
        "enumeration_date": "2006-03-15",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "251-432-4117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630005014",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H E Savage Memorial Ctr",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "H E Savage Memorial Ctr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.