Organization
AMERICAN FAMILY CARE, LLC
Active
Parent organization
AMERICAN FAMILY CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERICAN FAMILY CARE, LLC
Authorized official
MR. RANDY A JOHANSEN (PRESIDENT)
(205) 421-2102
Entity
Organization
Contact information
Practice address
1652 MONTCLAIR RD, BIRMINGHAM, AL 35210-2410
(205) 956-9192
(205) 956-3630
Mailing address
3700 CAHABA BEACH RD, BIRMINGHAM, AL 35242-5225
(205) 403-8902
(205) 421-2109
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529202590
—
AL
Enumeration date
07/31/2006
Last updated
04/24/2024
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