Organization Active NPI

Family Wellcare Clinic Inc

  • Family Medicine Physician
  • Rainbow City, AL
National Provider Identifier
1144470766
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY WELLCARE CLINIC INC
Practice address
3504B Rainbow Dr
Suite 165
Rainbow City, AL 35906-6310
Phone
(256) 393-6054
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Authorized official

Name
Orlando J Quinonez
Title
President
Phone
(256) 393-6054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3504B Rainbow Dr
Suite 165
Rainbow City, AL 35906-6310

Mailing address

3504B Rainbow Dr
Suite 165
Rainbow City, AL 35906-6310
Phone (256) 393-6054

National Provider Directory

National Provider Directory

Locations

3504B Rainbow Dr
Ste 165
Rainbow City, AL 35906
Phone (256) 393-6054

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1144470766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504B RAINBOW DR",
            "address_2": "SUITE 165",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359066310",
            "telephone_number": "256-393-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504B RAINBOW DR",
            "address_2": "SUITE 165",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359066310",
            "telephone_number": "256-393-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WELLCARE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "QUINONEZ",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-393-6054"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainbow City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.