Provider Demographics
NPI:1255113551
Name:CARBON HILL FAMILY CARE LLC
Entity type:Organization
Organization Name:CARBON HILL FAMILY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVIS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:205-931-0707
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:CARBON HILL
Mailing Address - State:AL
Mailing Address - Zip Code:35549-0006
Mailing Address - Country:US
Mailing Address - Phone:205-931-7070
Mailing Address - Fax:
Practice Address - Street 1:31040 1ST AVE NE STE 6
Practice Address - Street 2:
Practice Address - City:CARBON HILL
Practice Address - State:AL
Practice Address - Zip Code:35549-4152
Practice Address - Country:US
Practice Address - Phone:205-878-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty