EXTENDED FAMILY MEDICAL CLINIC (NPI# 1720121395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720121395 |
| Entity Type | Organization |
| Organization Name | EXTENDED FAMILY MEDICAL CLINIC |
| Practice Address |
108 N Catherine St Suite A Mobile AL 36604-1304 |
| Practice Telephone | 2514387170 |
| Practice Fax Number | 2514387173 |
| Mailing Telephone | 2514387170 |
| Mailing Fax Number | 2514387173 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANGELIA DENIESE BLACKMON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2514387170 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 1-073404 | AL | Ambulatory Health Care Facilities |
| Street Address |
108 N CATHERINE ST SUITE A |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551449 | John F Kilpatrick | Social Worker | 1156 Springhill Avenue, Mobile, AL 36604 | 2019-10-29 |
| 1477036986 | Rachel Schneider | Specialist/Technologist | 1601 Center St Ste B, Mobile, AL 36604 | 2018-09-11 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1427404722 | Precision Orthotics & Prosthetics,llc | Durable Medical Equipment & Medical Supplies | 1557 Springhill Avenue, Mobile, AL 36604 | 2016-05-05 |
| 1851737746 | Robert P. Kobelja | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604 | 2013-05-17 |
| 1619233970 | Lisa Brown Bailey | Nurse Practitioner | 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 | 2012-04-11 |
| 1023341773 | Rebecca Blankenhorn | Audiologist | 1610 Center St., Suite A, Mobile, AL 36604 | 2009-09-14 |
| 1700062684 | William-glenn Langley Hollingsworth | Counselor | 1156 Springhill Ave, Mobile, AL 36604 | 2008-01-10 |
| 1972715415 | Allison May Chung | Pharmacist | 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 | 2007-05-04 |
| 1265504716 | Geriatric Specialists LLC | Internal Medicine | 1059 Palmetto St, Mobile, AL 36604 | 2006-11-13 |
| Find all providers in zip 36604 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629452123 | Prestige Medical LLC | Clinic/Center | 857 Downtowner Blvd Ste G, Mobile, AL 36609-5420 | 2015-07-14 |
| 1821145269 | Springhill Physician Practices, Inc | Clinic/Center | 1000a Cody Rd S, Mobile, AL 36695-3425 | 2007-01-05 |
| 1609489178 | University of South Alabama Health Care Authority | Clinic/Center | 524 Stanton Rd, Mobile, AL 36617-2343 | 2020-08-25 |
| 1689141665 | Usa Hca Obgyn Services LLC | Clinic/Center | 524 Stanton Rd, Mobile, AL 36617-2343 | 2018-10-29 |
| 1649778259 | Imc-neurosurgery LLC | Clinic/Center | 3 Mobile Infirmary Cir Ste 201a, Mobile, AL 36607-3514 | 2018-01-29 |
| 1447621818 | Derica Parrish | Clinic/Center | 6150 Omni Park Dr, Mobile, AL 36609-5195 | 2015-10-12 |
| 1851612352 | Henry Chiropractic Center Inc | Clinic/Center | 801 Downtowner Blvd, Mobile, AL 36609-5403 | 2010-06-18 |
| 1770739054 | Springhill Physician Practices, Inc. | Clinic/Center | 3715 Dauphin St, Suite 7a, Mobile, AL 36608-1771 | 2008-08-18 |
| 1659562981 | Springhill Center for Womens Health | Clinic/Center | 3715 Dauphin St Ste 7a, Mobile, AL 36608-1775 | 2007-08-01 |
| 1518167220 | Eyston A. Hunte Md Pa | Clinic/Center | 120 N Lafayette St, Mobile, AL 36604-2258 | 2007-07-20 |
| Find all providers in MOBILE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.