Organization
FAMILY HEALTH CLINIC OF UNION SPRINGS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL MCMILLAN HOLDER CRNP (ADMINISTRATOR)
(334) 473-8795
Entity
Organization
Contact information
Practice address
309 PRAIRIE ST N, UNION SPRINGS, AL 36089-1418
(334) 473-8795
(334) 408-4681
Mailing address
309 PRAIRIE ST N, UNION SPRINGS, AL 36089-1418
(334) 473-8795
(334) 408-4681
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
9450011701
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138855
—
AL
Enumeration date
04/25/2018
Last updated
06/16/2018
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