Provider Demographics
NPI:1801284195
Name:HUNTSVILLE CAREPLUS, LLC
Entity type:Organization
Organization Name:HUNTSVILLE CAREPLUS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-650-4665
Mailing Address - Street 1:11100 S MEMORIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35803-2122
Mailing Address - Country:US
Mailing Address - Phone:256-650-4665
Mailing Address - Fax:256-650-4624
Practice Address - Street 1:11100 S MEMORIAL PKWY
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35803-2122
Practice Address - Country:US
Practice Address - Phone:256-650-4665
Practice Address - Fax:256-650-4624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-08
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty