NPIMap

Organization Active NPI

JM Family Enterprises, Inc

  • Primary Care Clinic/Center
  • Mobile, AL
National Provider Identifier
1942690458
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JM FAMILY ENTERPRISES, INC
Practice address
6150 Omni Park Dr
Mobile, AL 36609-5195
Phone
(251) 639-7959
Fax
(251) 639-7510
NPI assigned
Feb 4, 2015
Last updated
Feb 4, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
JM FAMILY ENTERPRISES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Authorized official

Name
Ed Brown
Title
Group Vice President
Phone
(954) 596-3976

Specialties & licenses 1

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

Addresses

Primary practice location

6150 Omni Park Dr
Mobile, AL 36609-5195

Mailing address

111 Jim Moran Blvd
Deerfield Beach, FL 33442-1701
Phone (954) 429-2418

Other names 1

  • Mobile Health & Wellness Center Other name

National Provider Directory

National Provider Directory
Tax ID family
JM Family Automotive LLC11 organizations share this tax ID, including this one
Part of
JM Family Automotive LLC

Other organizations with this tax ID 10

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

Locations

6150 Omni Park Dr
Mobile, AL 36609
Phone (251) 639-7959

Practitioners & affiliated clinicians

Practitioners 4

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": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1942690458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 JIM MORAN BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421701",
            "telephone_number": "954-429-2418",
            "fax_number": "954-429-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 OMNI PARK DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095195",
            "telephone_number": "251-639-7959",
            "fax_number": "251-639-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JM FAMILY ENTERPRISES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JM FAMILY ENTERPRISES, INC",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT",
        "authorized_official_telephone_number": "954-596-3976"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Health & Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.