MDC Holding Enterprise

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

102I506781 Issued in AL

Legal business name

MDC HOLDING ENTERPRISE

Practice address

1039 Forrest Ave
Gadsden, AL 35901-3539

Phone

(256) 543-7406

NPI assigned

Aug 6, 2016

Organization subpart

No

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

Authorized official

Name

Melanie Dianne Kilgo

Title

Co-Owner

Phone

(256) 490-7333

Specialties & licenses 1

Addresses

Other names 1

• FAMILY CARE ON FORREST AVENUE Doing business as

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

{
    "created_epoch": "1470441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470441600000",
    "number": "1952855017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 FORREST AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359013539",
            "telephone_number": "256-543-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 FORREST AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359013539",
            "telephone_number": "256-543-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDC HOLDING ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-06",
        "last_updated": "2016-08-06",
        "status": "A",
        "authorized_official_last_name": "KILGO",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "256-490-7333"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "102I506781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY CARE ON FORREST AVENUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Soraya Lynne McHenry, ED.S, LPC
• Ivan McKinney
• Hallie H. McKnight, CRNP
• Brittany L McPike, RBT
• MCT, Inc.
• Medical Billing Express, Inc.
• Daniel Robert Meis, DO
• Mercy Medical Clinic, LLC
• Anthony C Metcalfe, M.D.
• Marie A Metcalfe, PHARMD

• Primary Care Clinic/Center in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Primary Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; 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.