COOSA FAMILY CARE, LLC. (NPI# 1578113221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578113221 |
| Entity Type | Organization |
| Organization Name | COOSA FAMILY CARE, LLC. |
| Practice Address |
310 W Grand Ave Rainbow City AL 35906-3236 |
| Mailing Address |
1024 1st Ave Gadsden AL 35901-3544 |
| Practice Telephone | 2564595132 |
| Mailing Telephone | 2565437406 |
| Mailing Fax Number | 2565431661 |
| Enumeration Date | 2019-09-15 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | KRISTOPHER HOLDER (OWNER/MANAGER) |
| Authorized Official Telephone | 2564595132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1024 1st Ave, Gadsden, AL 359013544 | 2565437406 | 2565431661 |
| Street Address |
310 W GRAND AVE |
| City | RAINBOW CITY |
| State | AL |
| Zip Code | 35906-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073637427 | James Philip Graham | Family Medicine | 310 W Grand Ave, Rainbow City, AL 35906-3236 | 2007-03-19 |
| 1124529789 | Jordan Holder | Nurse Practitioner | 310 W Grand Ave, Rainbow City, AL 35906-3236 | 2018-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720563026 | Alabama Home Health Care Providers, Inc | Registered Nurse | 3542 Rainbow Drive, Rainbow City, AL 35906 | 2018-10-02 |
| 1578061271 | Restoring Hope Professional Counseling, LLC | Counselor | 3224 Rainbow Drive, Suite 4, Rainbow City, AL 35906 | 2018-01-28 |
| 1881888527 | April R. King | Optometrist | 115 W Grand Ave Ste 120, Rainbow City, AL 35906 | 2007-09-05 |
| 1609960269 | Sheila Prince Raines | Pharmacist | 3331 Rainbow Drive, Rainbow City, AL 35906 | 2006-10-03 |
| 1447365721 | Alabama Family Foot Clinic PC | Podiatrist | 107 Church Street, Rainbow City, AL 35906 | 2006-08-20 |
| 1740218890 | Regina K. Phillips | Family Medicine | 113 Rainbow Industrial Blvd, Suite B, Rainbow City, AL 35906 | 2006-06-29 |
| 1689610727 | Myrtell Lorraine Cantrell | Physician Assistant | 99 Boyd Place, Rainbow City, AL 35906 | 2006-06-20 |
| 1720060247 | Thomas Kevin Lackey | Anesthesiology | 3804 Rainbow Dr, Rainbow City, AL 35906 | 2005-11-18 |
| 1750792024 | Camellia Hospice of Northeast Alabama, LLC | Hospice Care, Community Based | 101 Church St, Rainbow City, AL 35906 | 2014-05-08 |
| 1003380668 | Kimberly Crawford | Speech-Language Pathologist | 3803 Rainbow Dr, Rainbow City, AL 35906-3025 | 2019-01-17 |
| Find all providers in zip 35906 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982257762 | Rainbow City Careplus, LLC | Clinic/Center | 309 W Grand Ave, Rainbow City, AL 35906-3241 | 2019-07-19 |
| 1881073294 | Southern Medical Holdings, LLC | Clinic/Center | 3731 Rainbow Dr, Suite B, Rainbow City, AL 35906-6307 | 2015-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316758 | Modern Health Family Care Practice | Clinic/Center | 13000 Cottonwood Rd, Cottonwood, AL 36320-4280 | 2020-05-01 |
| 1487274650 | Faith Medical Clinic LLC | Clinic/Center | 64 Mccurdy Ave N, Rainsville, AL 35986-4465 | 2020-04-17 |
| 1386283471 | E A Mccleskey, Do, LLC | Clinic/Center | 103 Intercom Dr Ste B, Madison, AL 35758-2641 | 2020-01-06 |
| 1568012755 | Watchman's Health PC | Clinic/Center | 1501 7th St Se Ste A, Decatur, AL 35601-3375 | 2019-09-19 |
| 1184273096 | Spedale Md PC | Clinic/Center | 3113 Wesley Way Ste 1, Dothan, AL 36305-2004 | 2019-09-04 |
| 1124675459 | Mainstreet Family Care LLC | Clinic/Center | 1500 1st Ave N Unit 3, Birmingham, AL 35203-1866 | 2019-08-21 |
| 1568016004 | Fenton Chiropractic LLC | Clinic/Center | 301 1st St S, Reform, AL 35481-8013 | 2019-08-01 |
| 1568967081 | Bernice R Swain Do Pllc | Clinic/Center | 2424 Danville Rd Sw Ste L, Decatur, AL 35603-4219 | 2018-03-27 |
| 1578088001 | Coastal Health & Wellness | Clinic/Center | 14 Confederate Dr S, Spanish Fort, AL 36527-3062 | 2017-08-05 |
| 1760918494 | Killen Urgent Care, Inc. | Clinic/Center | 152 J C Mauldin Hwy, Killen, AL 35645-9106 | 2017-05-01 |
| Find all providers with the same taxonomy | ||||
| City | RAINBOW CITY |
| Zip Code | 35906 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.