Active NPI
NC Health Care Clinic, LLC
- Rural Health Clinic/Center
- Decatur, AL
National Provider Identifier
1366701476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- 01-3969
- Legal business name
- NC HEALTH CARE CLINIC, LLC
- Practice address
- 68 Marco Dr
Decatur, AL 35603-5425 - Phone
- (256) 274-4524
- NPI assigned
- May 9, 2012
- 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
- Mr. Clay New
- Title
- President
- Phone
- (256) 686-0023
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | 01-3969 | AL | Primary |
Addresses
Primary practice location
68 Marco Dr
Decatur, AL 35603-5425
Mailing address
68 Marco Dr
Decatur, AL 35603-5425
Phone (256) 274-4524
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370563200000",
"number": "1366701476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 MARCO DR",
"city": "DECATUR",
"state": "AL",
"postal_code": "356035425",
"telephone_number": "256-274-4524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 MARCO DR",
"city": "DECATUR",
"state": "AL",
"postal_code": "356035425",
"telephone_number": "256-274-4524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NC HEALTH CARE CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-09",
"last_updated": "2013-06-07",
"status": "A",
"authorized_official_last_name": "NEW",
"authorized_official_first_name": "CLAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "256-686-0023",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "AL",
"license": "01-3969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.