MODERN HEALTH FAMILY CARE PRACTICE (NPI# 1891316758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891316758 |
| Entity Type | Organization |
| Organization Name | MODERN HEALTH FAMILY CARE PRACTICE |
| Practice Address |
13000 Cottonwood Rd Cottonwood AL 36320-4280 |
| Mailing Address |
Po Box 509 Cottonwood AL 36320-0509 |
| Practice Telephone | 3347974787 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-08-27 |
| Authorized Official Name | JESSICA CARLIELA JONES (OWNER) |
| Authorized Official Telephone | 3347974787 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Modern Health | Doing Business As Name - Organization |
| Street Address |
13000 COTTONWOOD RD |
| City | COTTONWOOD |
| State | AL |
| Zip Code | 36320-4280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417982034 | Cottonwood Ambulance and Rescue Squad Inc | Ambulance | 57 Granger St, Cottonwood, AL 36320 | 2006-07-12 |
| 1093932857 | Myrias Monroe Womack | Chiropractor | 13000 Cottonwood Road, Cottonwood, AL 36320-0206 | 2007-04-20 |
| 1851889661 | Tracy Chambers Gay | Social Worker | 1065 Oats Rd, Cottonwood, AL 36320-4038 | 2018-04-26 |
| 1124467402 | Cottonwood Drugs | Pharmacy | 13182 Cottonwood Rd, Cottonwood, AL 36320-4224 | 2013-06-19 |
| 1790007011 | Synchronicity Mental Health Services, LLC | Psychologist | 468 Phillips Rd, Cottonwood, AL 36320-4248 | 2010-03-01 |
| 1508197567 | Paul C Shaw | Psychologist | 6346 Gene Terry Rd, Cottonwood, AL 36320-4253 | 2010-01-14 |
| 1720327562 | Seal Cares Counseling, LLC. | Community/Behavioral Health | 6346 Gene Terry Rd, Cottonwood, AL 36320-4253 | 2013-02-13 |
| 1568755981 | Frances M Espey | Counselor | 6346 Gene Terry Rd, Cottonwood, AL 36320-4253 | 2011-05-18 |
| 1689992778 | Nancy Shaw | Psychologist | 6346 Gene Terry Rd, Cottonwood, AL 36320-4253 | 2010-05-13 |
| 1912221300 | Se Al Counseling and Behavioral Specialists, LLC | Community/Behavioral Health | 6346 Gene Terry Rd, Cottonwood, AL 36320-4253 | 2010-03-15 |
| Find all providers in zip 36320 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487042420 | Angela Schilling-koons, Np, LLC | Clinic/Center | 203 S Candy Ln, Bldg 13ab, Cottonwood, AZ 86326-4120 | 2014-12-29 |
| 1457604019 | Mingus Medical Care Pllc | Clinic/Center | 813 Cove Pkwy, 101, Cottonwood, AZ 86326-4663 | 2012-10-19 |
| 1376840918 | Spectrum Healthcare Group, Inc | Clinic/Center | 8 E Cottonwood St Bldg C, Cottonwood, AZ 86326-6237 | 2011-02-17 |
| 1689867517 | Sanson Pediatrics, P.C. | Clinic/Center | 203 S Candy Ln, Suite 6b, Cottonwood, AZ 86326-4120 | 2007-08-23 |
| 1558413781 | Cherry Family Practice, Plc | Clinic/Center | 411 S 14th St, Cottonwood, AZ 86326-3478 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487274650 | Faith Medical Clinic LLC | Clinic/Center | 64 Mccurdy Ave N, Rainsville, AL 35986-4465 | 2020-04-17 |
| 1386283471 | E A Mccleskey, Do, LLC | Clinic/Center | 103 Intercom Dr Ste B, Madison, AL 35758-2641 | 2020-01-06 |
| 1568012755 | Watchman's Health PC | Clinic/Center | 1501 7th St Se Ste A, Decatur, AL 35601-3375 | 2019-09-19 |
| 1184273096 | Spedale Md PC | Clinic/Center | 3113 Wesley Way Ste 1, Dothan, AL 36305-2004 | 2019-09-04 |
| 1124675459 | Mainstreet Family Care LLC | Clinic/Center | 1500 1st Ave N Unit 3, Birmingham, AL 35203-1866 | 2019-08-21 |
| 1568016004 | Fenton Chiropractic LLC | Clinic/Center | 301 1st St S, Reform, AL 35481-8013 | 2019-08-01 |
| 1568967081 | Bernice R Swain Do Pllc | Clinic/Center | 2424 Danville Rd Sw Ste L, Decatur, AL 35603-4219 | 2018-03-27 |
| 1578088001 | Coastal Health & Wellness | Clinic/Center | 14 Confederate Dr S, Spanish Fort, AL 36527-3062 | 2017-08-05 |
| 1760918494 | Killen Urgent Care, Inc. | Clinic/Center | 152 J C Mauldin Hwy, Killen, AL 35645-9106 | 2017-05-01 |
| 1922546357 | Medcenter Primary Care | Clinic/Center | 4960 Rice Mine Road Ne, Ste 10, Northport, AL 35476-2838 | 2017-02-06 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD |
| Zip Code | 36320 |
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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.