Family Care First, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

FAMILY CARE FIRST, INC.

Practice address

1023 Highway 13
Haleyville, AL 35565-1638

Phone

(205) 269-5036

NPI assigned

Feb 9, 2012

Organization subpart

Yes

Parent organization

FAMILY CARE FIRST, INCAs reported in NPPES

Name

Mr. Jerre S. Glover Jr.

Title

Owner

Phone

(256) 227-0571

• Patient First Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 23, 2014.

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1861765638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 AL. HWY 13",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "35565",
            "telephone_number": "205-486-5050",
            "fax_number": "205-486-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 HIGHWAY 13",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355651638",
            "telephone_number": "205-269-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE FIRST, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY CARE FIRST, INC",
        "enumeration_date": "2012-02-09",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "JERRE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-227-0571",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164019",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patient First",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.