Hanceville Primary Healthcare, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HANCEVILLE PRIMARY HEALTHCARE, LLC

Practice address

1009 Main St NW
Hanceville, AL 35077-7949

Phone

(256) 887-1751

NPI assigned

Oct 13, 2017

Last updated

Apr 25, 2018By 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

Allie Barnett

Title

Office Manager

Phone

(256) 887-1571

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Josiah Chad Daily, M.D.

  • Emergency Medicine Physician
  • Baileyton, AL
  • NPI 1285837377
  NPD (past)
• Ashley Frey, CRNP

  • Family Medicine Physician
  • Hanceville, AL
  • NPI 1770066185
  NPD (past)

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1619488913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 MAIN ST NW",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350777949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 MAIN ST NW",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350777949",
            "telephone_number": "256-887-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCEVILLE PRIMARY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "ALLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-887-1571"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209906",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "512-01510",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Blake Gentry
• Whitney Lauren Greene, M.S. CCC-SLP
• Hanceville Acute Care and Wellness Center, LLC
• Hanceville Drug Company
• Hanceville Nursing & Rehab Center Inc.
• Christopher David Henderson, PHARMD
• Tracy Johnson, RPH
• Julia Renae Jones, CRNP
• McKinley Neal Jones, CRNP
• Mandy Shay Laney, CRNP

• Primary Care Clinic/Center in Hanceville, AL
• Providers in Hanceville, AL by specialty
• Primary Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.