Organization Active NPI

Family Care First, Inc.

  • Primary Care Clinic/Center
  • Florence, AL
National Provider Identifier
1790093441
Registry record updated Nov 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
71754 Issued in AL
Legal business name
FAMILY CARE FIRST, INC.
Practice address
2530 Florence Blvd Ste D
Florence, AL 35630-2807
Phone
(256) 760-4395
Fax
(256) 760-4396
NPI assigned
Sep 15, 2010
Last updated
Nov 11, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY CARE FIRST, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2013

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

Authorized official

Name
Mr. Jerre Glover
Title
General Manager
Phone
(256) 905-0340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 71754 AL Primary

Addresses

Primary practice location

2530 Florence Blvd Ste D
Florence, AL 35630-2807

Mailing address

11809 Al Highway 157
Ste E
Moulton, AL 35650-2707
Phone (256) 760-4395

Other names 1

  • Patient Care First Medical Clinic, Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Family Care First Inc

Locations

11809 AL Highway 157
Ste E
Moulton, AL 35650
Phone (256) 905-0340

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Dec 29, 2018 Change of OwnershipThis provider was the seller Sanar Medical ClinicCCN 013476, AL, NPI 1497213482

Change of ownership 1

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384128000000",
    "number": "1790093441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11809 AL HIGHWAY 157",
            "address_2": "STE E",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356502707",
            "telephone_number": "256-760-4395",
            "fax_number": "256-760-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 FLORENCE BLVD STE D",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302807",
            "telephone_number": "256-760-4395",
            "fax_number": "256-760-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE FIRST, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY CARE FIRST, INC",
        "enumeration_date": "2010-09-15",
        "last_updated": "2013-11-11",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "JERRE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "256-905-0340",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "71754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patient Care First Medical Clinic, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.