Active NPI
FC of Alabama Inc
Doing business as Intrepid USA Healthcare Services
- Home Health Agency
- Montgomery, AL
National Provider Identifier
1275515850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- FC OF ALABAMA INC
- Doing business as
- Intrepid USA Healthcare Services
- Practice address
- 445 Dexter Ave Ste 4050
Montgomery, AL 36104-3867 - Phone
- (334) 270-7913
- Fax
- (334) 270-0668
- NPI assigned
- Nov 18, 2005
- Last updated
- Apr 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul M McMullen
- Title
- Coo
- Phone
- (214) 445-3750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
445 Dexter Ave Ste 4050
Montgomery, AL 36104-3867
Mailing address
3220 Keller Springs Rd Ste 108
Carrollton, TX 75006-5911
Phone (214) 445-3750
Other names 1
- Intrepid USA Healthcare Services
National Provider Directory
National Provider DirectoryLocations
4141 Wall St
Ste 4141
Montgomery, AL 36106
Phone (334) 270-7913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587600000000",
"number": "1275515850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 KELLER SPRINGS RD STE 108",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750065911",
"telephone_number": "214-445-3750",
"fax_number": "214-445-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 DEXTER AVE STE 4050",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361043867",
"telephone_number": "334-270-7913",
"fax_number": "334-270-0668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FC OF ALABAMA INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-18",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A",
"authorized_official_last_name": "MCMULLEN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "214-445-3750"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Intrepid USA Healthcare Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Intrepid USA Healthcare Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.