Provider Demographics
NPI:1649960873
Name:PFCC, LLC
Entity type:Organization
Organization Name:PFCC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:LAMBETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-626-6757
Mailing Address - Street 1:32128 BROKEN BRANCH CIR
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORT
Mailing Address - State:AL
Mailing Address - Zip Code:36527-6000
Mailing Address - Country:US
Mailing Address - Phone:251-626-6757
Mailing Address - Fax:251-626-6758
Practice Address - Street 1:32128 BROKEN BRANCH CIR
Practice Address - Street 2:
Practice Address - City:SPANISH FORT
Practice Address - State:AL
Practice Address - Zip Code:36527-6000
Practice Address - Country:US
Practice Address - Phone:251-626-6757
Practice Address - Fax:251-626-6758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty