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NPI Code Detail

MEDICARE: AMERICAN FAMILY CARE, LLC

MEDICARE: AMERICAN FAMILY CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center
2208D00000XGeneral Practice Physician
3261Q00000XClinic/Center
4261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1215775333
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN FAMILY CARE, LLC
Provider Business Mailing Address
First Line : 3700 CAHABA BEACH RD
Second Line :
City : HOOVER
State : AL
Zip : 35242-5225
Country : US
Telephone Number : 205-421-2151
Fax Number :
Provider Business Practice Location Address
First Line : 46 SHIELDS RD
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35811-7800
Country : US
Telephone Number : 256-382-3680
Fax Number :
Authorized Official
Title or Position : CEO
Name : RANDY JOHANSEN
Credential :
Telephone Number : 205-421-2101
Provider Enumeration Date : 07/15/2024
Last Update Date : 03/27/2025

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Directions to “AMERICAN FAMILY CARE, LLC ” Practice Location

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