NPIMap

Organization Active NPI

The Health Care Authority of the City of Eufaula

Doing business as Family Care Center

  • Rural Health Clinic/Center
  • Eufaula, AL
National Provider Identifier
1487167375
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
THE HEALTH CARE AUTHORITY OF THE CITY OF EUFAULA
Doing business as
Family Care Center
Practice address
825 W Washington St Ste 7
Eufaula, AL 36027-1851
Phone
(334) 688-7410
NPI assigned
Nov 14, 2017
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Patricia Glenn
Title
Medical Staff Coordinator
Phone
(334) 688-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

825 W Washington St Ste 7
Eufaula, AL 36027-1851

Mailing address

820 W Washington St
Eufaula, AL 36027-1855

Other names 1

  • Family Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180405002125 AL Part A Provider - Rural Health Clinic 9335407659 Receives reassigned benefits from 1 practitioner
Practice locations: Eufaula, AL
O20180619000582 AL Part B Supplier - Clinic/Group Practice 9335407659 Receives reassigned benefits from 36 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Eufaula, AL; Louisville, AL; Hurtsboro, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487167375. Details of each certification follow.

Rural health clinic certification: CCN 013456

Legal name
THE HEALTH CARE AUTHORITY OF THE CITY OF EUFAULA
Doing business as
FAMILY CARE CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 30, 2014
Last certification
Jan 5, 2022
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Dec 15, 2006 in AL
Enrollment address
825 W Washington St
Ste 7
Eufaula, AL 36027-1851
Related CCNs
011307

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
The Health Care Authority of the City of Eufaula5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jessie Warren Individual Corporate OfficerBoard Member Dec 1, 2017
Robert Dixon Individual Corporate OfficerBoard Member Dec 1, 2017
Janice Clark Individual Corporate OfficerBoard Member Dec 1, 2017
Jack Tibbs Individual Corporate OfficerBoard Member Dec 1, 2017
James Jaxon Individual Corporate OfficerBoard Member- Vice Chairmen Dec 1, 2017
Justin D Harris Individual Corporate Officer Oct 1, 2018
Bretha Hawkins Individual Corporate OfficerBoard Member Dec 1, 2017
Eugene Harris Individual Corporate OfficerBoard Member- Chairman Dec 1, 2017
Jim Martin Individual Corporate OfficerBoard Member- Scretary Treasurer Dec 1, 2017
MCBH LLC Organization, Los Angeles, CA LLC Operational/Managerial Control Dec 1, 2017
Nona Parker Individual Corporate OfficerBoard Member Dec 1, 2017
William D King Individual Corporate OfficerBoard Member Dec 1, 2017
Michael Andrew Kozar Individual Operational/Managerial ControlAdministrator Dec 1, 2017

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Medical Center BarbourEufaula, AL, CCN 011307 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2017
MCB Family ClinicLouisville, AL, CCN 013479 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2017

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 1

DateEventCounterparty
Dec 1, 2017 Change of OwnershipThis provider was the buyer Family Care ClinicCCN 013456, AL, NPI 1104248319

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 5

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": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1487167375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W WASHINGTON ST",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W WASHINGTON ST STE 7",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271851",
            "telephone_number": "334-688-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTH CARE AUTHORITY OF THE CITY OF EUFAULA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MEDICAL STAFF COORDINATOR",
        "authorized_official_telephone_number": "334-688-7000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eufaula, AL

Sources for this page

Verify at the official NPI Registry.