Provider Demographics
NPI:1467797803
Name:COMPLETE FAMILY CARE, LLC
Entity Type:Organization
Organization Name:COMPLETE FAMILY CARE, LLC
Other - Org Name:NORTH ALABAMA MEDICAL ASSOC., LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:D.O. PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:YOYEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LAU
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:256-526-6926
Mailing Address - Street 1:PO BOX 8365
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35902-8365
Mailing Address - Country:US
Mailing Address - Phone:256-543-2867
Mailing Address - Fax:256-459-4791
Practice Address - Street 1:280 INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:AL
Practice Address - Zip Code:35983-3737
Practice Address - Country:US
Practice Address - Phone:256-526-6926
Practice Address - Fax:256-526-6931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALD0638207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL123504Medicaid
ALG27837Medicare UPIN
AL051559163Medicare PIN