MEDICARE: AMERICAN FAMILY CARE INC

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
1	261Q00000X	Clinic/Center
2	208D00000X	General Practice Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CA6570	OTHER	AL	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1669488060
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN FAMILY CARE INC

Provider Business Mailing Address
First Line	:	2147 RIVERCHASE OFFICE ROAD
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35244
Country	:	US
Telephone Number	:	205-403-8902
Fax Number	:	205-982-0278

Provider Business Practice Location Address
First Line	:	1007 9TH AVENUE NORTH
Second Line	:
City	:	BESSEMER
State	:	AL
Zip	:	35020
Country	:	US
Telephone Number	:	205-426-9605
Fax Number	:	205-424-1054

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RANDY A JOHANSEN
Credential	:
Telephone Number	:	205-421-2102

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	03/27/2025

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Directions to “AMERICAN FAMILY CARE INC ” Practice Location

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