Organization Active NPI

Cherokee Family Healthcare, LLC

  • Primary Care Clinic/Center
  • Centre, AL
National Provider Identifier
1750008801
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CHEROKEE FAMILY HEALTHCARE, LLC
Practice address
819 W Main St
Centre, AL 35960-1235
Phone
(256) 630-5467
NPI assigned
Oct 19, 2022
Last updated
Oct 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Connie L Geimer, CRNPNPI 1659667095
Title
Owner
Phone
(256) 630-5467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

819 W Main St
Centre, AL 35960-1235

Mailing address

PO Box 610
Centre, AL 35960-0610
Phone (256) 630-5467

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230119000488 AL Part B Supplier - Clinic/Group Practice 6800267444 Receives reassigned benefits from 4 practitioners
Practice locations: Centre, AL
O20240321002805 AL Part A Provider - Rural Health Clinic 6800267444 Practice locations: Centre, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750008801. Details of each certification follow.

Rural health clinic certification: CCN 018977

Legal name
CHEROKEE FAMILY HEALTHCARE LLC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 13, 2024
Last certification
Aug 13, 2024
Ownership / control type
1B
Organization structure
LLCProprietary
Enrollment address
819 W Main St
Ste a
Centre, AL 35960-1235

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2271639Cherokee Family Healthcare819 W Main Street Suite a, Centre, AL 35960Certificate of waiverNov 3, 2026

National Provider Directory

National Provider Directory

Locations

819 W Main St
Centre, AL 35960
Phone (256) 266-1021

819 W Main St
#A
Centre, AL 35960
Phone (256) 266-1021

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIDJCD

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Connie L Geimer Individual 5% Or Greater Direct Ownership Interest Nov 1, 2022 100%
Corporate OfficerPresident Nov 1, 2022 100%
W-2 Managing EmployeePresident Nov 1, 2022 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1750008801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359600610",
            "telephone_number": "256-630-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 W MAIN ST",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601235",
            "telephone_number": "256-630-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE FAMILY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "GEIMER",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-630-5467",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centre, AL

Sources for this page

Verify at the official NPI Registry.