Healthcare Provider Details

I. General information

NPI: 1174453203
Provider Name (Legal Business Name): PRICE FAMILY CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 MAIN ST
WATERLOO AL
35677-4401
US

IV. Provider business mailing address

1460 COUNTY ROAD 60
FLORENCE AL
35633-1830
US

V. Phone/Fax

Practice location:
  • Phone: 256-629-0033
  • Fax: 256-629-0042
Mailing address:
  • Phone: 256-629-0033
  • Fax: 256-629-0042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMANDA PRICE
Title or Position: CRNP
Credential: CRNP
Phone: 256-762-8683