PREMIUM FAMILY CARE LLC (NPI# 1922667476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922667476 |
| Entity Type | Organization |
| Organization Name | PREMIUM FAMILY CARE LLC |
| Practice Address |
333 Whitesport Dr Sw Ste 204 Huntsville AL 35801-3455 |
| Practice Telephone | 6015663564 |
| Mailing Telephone | 6015663564 |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2019-06-09 |
| Authorized Official Name | JACOB WILSON (OWNER) |
| Authorized Official Telephone | 6015290948 |
| 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 |
| Street Address |
333 WHITESPORT DR SW STE 204 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396192423 | Jacob Wilson | Family Medicine | 333 Whitesport Dr Sw Ste 204, Huntsville, AL 35801-3455 | 2016-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194958124 | Center for Adult Medicine & Hypertension, PC | Clinic/Center | 411 Engle Dr Sw, Huntsville, AL 35801-5119 | 2009-08-25 |
| 1811185424 | Raynon A. Andrews, Md, PC | Clinic/Center | 1878 Jeff Road, Suite A, Huntsville, AL 35806 | 2007-10-09 |
| 1124216932 | Premier Family Medicine, PC | Clinic/Center | 4820 University Dr Nw Ste 35, Huntsville, AL 35816-1824 | 2007-10-05 |
| 1255387247 | Regional Spine & Wrist Centers,llc | Clinic/Center | 7540 Memorial Pkwy Sw, Suite W, Huntsville, AL 35802-2265 | 2006-05-25 |
| 1457962508 | Daniel R Englert Md LLC | Clinic/Center | 101 Bob Wallace Ave Sw Ste D, Huntsville, AL 35801-3843 | 2020-08-12 |
| 1649890211 | Southern Grace Medical Care, LLC | Clinic/Center | 500 Governors Dr Sw, Huntsville, AL 35801-5126 | 2020-04-23 |
| 1063066793 | Welbii, LLC | Clinic/Center | 700 Airport Rd Sw Ste D, Huntsville, AL 35802-4360 | 2019-07-31 |
| 1932652989 | Happi Inc | Clinic/Center | 4040 Memorial Pkwy Sw, Suite K, Huntsville, AL 35802-4364 | 2016-07-26 |
| 1538530860 | Zaheer A. Khan Mdpc | Clinic/Center | 3007 Memorial Pkwy Sw Ste B, Huntsville, AL 35801-5394 | 2015-10-13 |
| 1487922050 | Fox Army Health Clinic | Clinic/Center | 4100 Goss Rd Sw, Huntsville, AL 35809-0001 | 2011-12-09 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
Please comment or provide details below to improve the information on PREMIUM FAMILY CARE LLC.
| 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.