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Franklin Primary Health Center, Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Prichard, AL

NPI 1881015261 · NPPES record last updated Aug 30, 2022

Key facts

NPI
1881015261
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
FRANKLIN PRIMARY HEALTH CENTER, INC
Practice address
510 S Wilson Ave
Prichard, AL 36610-3912
Phone
(251) 452-1442
Fax
(251) 330-2156
NPI assigned
Jan 2, 2014
Organization subpart
Yes
Parent organization (as reported)
FRANKLIN PRIMARY HEALTH CENTER, INC

Authorized official

Name
Mr. Charles N/a White
Title
Ceo
Phone
(251) 432-4117

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 25

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

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

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 54

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in AL

Federally qualified health center certification: CCN 011009

Legal name
FRANKLIN PRIMARY HEALTH CENTER, INC.
Doing business as
DR. ALBERT THOMAS FAMILY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 7, 2014
Last certification
Mar 7, 2014
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Jan 1, 1975 in AL
Enrollment address
510 South Wilson Ave
Prichard, AL 36610-3912

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Myrtis Jones
Individual 		Corporate Officer
Board Member		 Jan 1, 2014
Myriam Brister
Individual 		Corporate Officer
Board Member		 Jan 1, 2014
Larry Coleman
Individual 		Corporate Officer
Board Member		 Jan 1, 2014
Yullia Edwards
Individual 		Corporate Officer
Board Member		 Jan 1, 2014
Chris McGadney
Individual 		Corporate Officer
Board Member		 Jan 1, 2014
Ronald Martin
Individual 		Corporate Officer
Board Member		 Jan 1, 2014
Herman Harville
Individual 		Corporate Officer
Board Member		 Jan 1, 2014
Rosa Hart
Individual 		Corporate Officer
Board Member		 Jan 1, 2014
Stan Chavis
Individual 		Corporate Officer
Board Member		 Jan 1, 2014
Lula Ifill
Individual 		Corporate Officer
Board Member		 Jan 1, 2014
Sydney Raine
Individual 		Corporate Officer
Board Member		 Jan 1, 2014
Charles White
Individual 		Corporate Officer
Ceo		 Jan 1, 2014
Corporate Director Jan 1, 2014
W-2 Managing Employee Jan 1, 2014

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Foley School Based Health Center
Foley, AL · CCN 011028		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 1, 2016

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040618000827 AL Part B Supplier - Clinic/Group Practice 1658356308 Receives reassigned benefits from 126 practitioners
25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mobile, AL; Prichard, AL; Uriah, AL; Frisco City, AL; Loxley, AL; Brewton, AL; Evergreen, AL; Foley, AL…
O20140306001124 AL Part a Provider - Federally Qualified Health Center (FQHC) 1658356308 Practice locations: Prichard, AL

National Provider Directory

Tax ID family
Franklin Memorial Prim (25 organizations share this tax ID)
Part of
Franklin Memorial Prim

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor
Group: 193200000X MULTI-SPECIALTY GROUP		 101Y00000X
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Obesity Medicine (Family Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207QB0002X
Geriatric Medicine (Family Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207QG0300X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X
Addiction Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RA0401X
Obstetrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207VX0000X
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208D00000X
Clinic/Center 261Q00000X
Ambulatory Family Planning Facility 261QA0005X
Federally Qualified Health Center (FQHC) 261QF0400X Yes
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

510 S Wilson Ave
Prichard, AL 36610-3912

Mailing address

PO Box 2048
Mobile, AL 36652-2048
Phone (251) 432-4117

Other providers in Prichard, AL

All providers in Prichard, AL · Federally Qualified Health Center (FQHC) in Alabama

Sources for this page

Verify at the official NPI Registry.