MILLPORT FAMILY PRACTICE CLINIC, LLC (NPI# 1902984032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902984032 |
| Entity Type | Organization |
| Organization Name | MILLPORT FAMILY PRACTICE CLINIC, LLC |
| Practice Address |
13530 Highway 96 Millport AL 35576-2522 |
| Practice Telephone | 2056625784 |
| Mailing Telephone | 2056625784 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT ENOCH SWANSON (MANAGING PARTNER) |
| Authorized Official Telephone | 2056625784 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Street Address |
13530 HIGHWAY 96 |
| City | MILLPORT |
| State | AL |
| Zip Code | 35576-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233667 | David Clyde Call | Internal Medicine | 13530 Highway 96, Millport, AL 35576-2522 | 2005-05-31 |
| 1063871184 | Fmc Medical Clinic Millport | Family Medicine | 13530 Highway 96, Millport, AL 35576-2522 | 2016-02-17 |
| 1790177459 | Lamar Primary Care LLC | Health Maintenance Organization | 13530 Highway 96, Millport, AL 35576-2522 | 2015-03-04 |
| 1730593625 | Hannah L Livingston | Nurse Practitioner | 13530 Highway 96, Millport, AL 35576-2522 | 2014-06-18 |
| 1265561328 | Millport Fam Practice Clinic, LLC | Clinic/Center | 13530 Highway 96, Millport, AL 35576-2522 | 2007-03-05 |
| 1801975958 | Millport Internal Medicine | Clinic/Center | 13530 Highway 96, Millport, AL 35576-2522 | 2006-11-02 |
| 1508851486 | Robert Enoch Swanson | Nurse Practitioner | 13530 Highway 96, Millport, AL 35576-2522 | 2005-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457758351 | Millport Holdings Dme LLC | Durable Medical Equipment & Medical Supplies | 13530 Hwy 96, Millport, AL 35576 | 2014-11-21 |
| 1831292903 | Lon Edward Wright | Pharmacist | 13532 Hwy 96 E, Millport, AL 35576 | 2006-09-06 |
| 1740474204 | Fayette Pharmacy Inc | Pharmacy | 13532 Highway 96, Millport, AL 35576-2522 | 2007-08-28 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1952952541 | Pediatric Associates of Alexander City PC | Clinic/Center | 21 Coosa County Road 50, Kellyton, AL 35089-1900 | 2019-09-25 |
| 1205309044 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 184 William E Hill Drive Ste C, Carrollton, AL 35447 | 2019-01-04 |
| 1487123915 | Physicians Care of Camden LLC | Clinic/Center | 24b Camden Byp, Camden, AL 36726-1770 | 2018-11-14 |
| 1336634666 | Central Pediatrics of Somerville LLC | Clinic/Center | 3609 Highway 67 S, Somerville, AL 35670 | 2018-06-28 |
| 1578060349 | Ivy Creek of Elmore, LLC | Clinic/Center | 4412 Hogan Rd, Deatsville, AL 36022-3400 | 2018-04-09 |
| 1568915106 | Physicians Care of Grove Hill LLC | Clinic/Center | 127 Clark St Ste C&d, Grove Hill, AL 36451-3050 | 2016-08-01 |
| 1205294428 | Red Bay Hospital Outpatient Clinics LLC | Clinic/Center | 14490 County Line Road, Suite A, Muscle Shoals, AL 35661 | 2016-02-02 |
| 1972985968 | Athens Limestone Pediatric Center LLC | Clinic/Center | 101 Fitness Way Ste 2100, Athens, AL 35611-2494 | 2015-06-25 |
| 1396125258 | D W Mcmillan Memorial Hospital | Clinic/Center | 1674 Cleveland Ave, Castleberry, AL 36432 | 2015-06-05 |
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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.