Holifield Clinic LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

HOLIFIELD CLINIC LLC

Practice address

1100 S Cedar Ave
Demopolis, AL 36732-3310

Phone

(334) 289-2190

Fax

(334) 289-2195

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Heather Patrick Campbell

Title

Office Manager

Phone

(334) 289-2190

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1568525855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S CEDAR AVE",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367323310",
            "telephone_number": "334-289-2190",
            "fax_number": "334-289-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S CEDAR AVE",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367323310",
            "telephone_number": "334-289-2190",
            "fax_number": "334-289-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLIFIELD CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-289-2190",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESCRIPTIVE#",
            "identifier": "1436",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL LICENSE#",
            "identifier": "7780",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACOG#",
            "identifier": "0308385",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL LICENSE#",
            "identifier": "1-045972",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85905-COW",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trameika M. Hawkins, PHARM D.
• HC Healthcare, LLC
• Hearing Professionals of America
• Empress Herelle
• Layne Hicks, PT,DPT
• Cynthia J Holifield VI
• William J Holman, RPT
• Archie Dean Hooper IV, MD
• Kalmisha Kyaunta Huff, CRNP
• Margaret Hurns I

• All providers in Demopolis, AL
• Community Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.