NPIMap

Organization Active NPI

Family Alliance Network

  • Community Health Clinic/Center
  • Pike Road, AL
National Provider Identifier
1831813351
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
FAMILY ALLIANCE NETWORK
Practice address
348 Bridlebrook Blvd
Pike Road, AL 36064-2775
Phone
(334) 375-9501
NPI assigned
Sep 28, 2022
Last updated
Sep 28, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY ALLIANCE NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Sabrina A Mack
Title
Ceo
Phone
(704) 756-3991

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

348 Bridlebrook Blvd
Pike Road, AL 36064-2775

Mailing address

348 Bridlebrook Blvd
Pike Road, AL 36064-2775
Phone (334) 375-9501

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address records@familyalliancenetwork.org Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Family Alliance Network LLC5 organizations share this tax ID, including this one
Part of
Family Alliance Network LLC

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1831813351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 BRIDLEBROOK BLVD",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360642775",
            "telephone_number": "334-375-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 BRIDLEBROOK BLVD",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360642775",
            "telephone_number": "334-375-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ALLIANCE NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY ALLIANCE NETWORK",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-756-3991"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@familyalliancenetwork.org",
            "affiliation": "N",
            "endpointDescription": "records@familyalliancenetwork.org",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "348 Bridlebrook Blvd",
            "city": "Pike Road",
            "state": "AL",
            "country_code": "US",
            "postal_code": "360642775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pike Road, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.