American Family Care, LLC
Organization Active NPI Primary Care Clinic/Center · Prattville, AL
NPI 1245779529 · NPPES record last updated Apr 24, 2024
Key facts
- NPI
- 1245779529
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- AMERICAN FAMILY CARE, LLC
- Practice address
- 1965 Cobbs Ford Rd
Prattville, AL 36066-7290 - Phone
- (334) 361-7054
- Fax
- (334) 361-8750
- NPI assigned
- Feb 20, 2017
- Organization subpart
- No
Authorized official
- Name
- Randy Johansen
- Title
- President
- Phone
- (205) 403-8902
Corporate family (same tax ID) 30
National Provider Directory
- Tax ID family
- American Fam Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 1-138779 | AL | |
| Primary Care Clinic/Center | 261QP2300X | Yes | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
1965 Cobbs Ford Rd
Prattville, AL 36066-7290
Mailing address
1965 Cobbs Ford Rd
Prattville, AL 36066-7290
Phone (334) 361-7054
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529202590 | Medicaid | AL |
Other providers in Prattville, AL
- Rebecca Alexander
- Shazzia Alexander
- Aligned Purpose LLC
- All Things United LLC
- Aloha Care Montgomery, Inc.
- American Family Care, LLC
- American Family Care, LLC
- American Primary Care of Prattville, PC
- Courtney Arnette
- Aseracare Hospice - Demopolis, LLC
All providers in Prattville, AL · Primary Care Clinic/Center in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.