Quality Healthcare & Holistic Clinic, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

QUALITY HEALTHCARE & HOLISTIC CLINIC, LLC

Practice address

226 S Quintard Ave Ste C
Anniston, AL 36201-6070

Phone

(256) 403-1025

NPI assigned

Oct 31, 2014

Last updated

Oct 31, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose Oblena

Title

MD

Phone

(256) 403-1025

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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.

• Paula Michelle Watkins, CRNP

  • Primary Care Nurse Practitioner
  • Northport, AL
  • NPI 1730527920
  NPD (past)

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1487059598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 SOUTH QUINTARD AVE. STE. C",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "36201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S QUINTARD AVE STE C",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362016070",
            "telephone_number": "256-403-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY HEALTHCARE & HOLISTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "OBLENA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "256-403-1025"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "AL",
            "license": "19610",
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051531188",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051531218",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7717155",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Anniston, AL
• Providers in Anniston, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.