Organization Active NPI

Price Family Clinic

  • Primary Care Clinic/Center
  • Waterloo, AL
National Provider Identifier
1174453203
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PRICE FAMILY CLINIC
Practice address
314 Main St
Waterloo, AL 35677-4401
Phone
(256) 629-0033
Fax
(256) 629-0042
NPI assigned
May 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Amanda Price, CRNPNPI 1023723053
Title
CRNP
Phone
(256) 762-8683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

314 Main St
Waterloo, AL 35677-4401

Mailing address

1460 County Road 60
Florence, AL 35633-1830
Phone (256) 629-0033

National Provider Directory

National Provider Directory
Tax ID family
Petersville Family Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1174453203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 COUNTY ROAD 60",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356331830",
            "telephone_number": "256-629-0033",
            "fax_number": "256-629-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MAIN ST",
            "city": "WATERLOO",
            "state": "AL",
            "postal_code": "356774401",
            "telephone_number": "256-629-0033",
            "fax_number": "256-629-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRICE FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "256-762-8683",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.