NPIMap

Organization Active NPI

Premium Family Care LLC

  • Primary Care Clinic/Center
  • Huntsville, AL
National Provider Identifier
1922667476
Registry record updated Jun 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PREMIUM FAMILY CARE LLC
Practice address
333 Whitesport Dr SW Ste 204
Huntsville, AL 35801-3455
Phone
(601) 566-3564
NPI assigned
Jun 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2019

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

Authorized official

Name
Jacob Wilson
Title
Owner
Phone
(601) 529-0948

Specialties & licenses 1

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

Addresses

Primary practice location

333 Whitesport Dr SW Ste 204
Huntsville, AL 35801-3455

Mailing address

333 Whitesport Dr SW Ste 204
Huntsville, AL 35801-3455
Phone (601) 566-3564

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560038400000",
    "number": "1922667476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WHITESPORT DR SW STE 204",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013455",
            "telephone_number": "601-566-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WHITESPORT DR SW STE 204",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013455",
            "telephone_number": "601-566-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-09",
        "last_updated": "2019-06-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-529-0948"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2019; 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.