EVERGREEN FAMILY MEDICAL CENTER – NPI #1912327479
Clinic/Center

EVERGREEN FAMILY MEDICAL CENTER is an AHC clinic located in EVERGREEN, AL. NPPES has assigned the NPI number 1912327479 to EVERGREEN FAMILY MEDICAL CENTER on April 23, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EVERGREEN FAMILY MEDICAL CENTER” is a dba name, the actual legal business name for this organization is FRANKLIN PRIMARY HEALTH CENTER, INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC) Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 3 years ago on Aug 16, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVERGREEN FAMILY MEDICAL CENTER below.

NPI Profile for
FRANKLIN PRIMARY HEALTH CENTER, INC

NPI Number
1912327479
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FRANKLIN PRIMARY HEALTH CENTER, INC
Doing Business As (dba): EVERGREEN FAMILY MEDICAL CENTER
Primary location
316 S MAIN ST
EVERGREEN, AL 36401-3325
Phone: (251) 432-4117 Fax: (251) 436-7765
Mailing address
PO BOX 2048
MOBILE, AL 36652-2048
Phone: (251) 432-4117 Fax: (251) 436-7765
Organization Subpart
Yes - EVERGREEN FAMILY MEDICAL CENTER is subpart of another organization.
Authorized Official
CHARLES WHITE
CEO
Phone: (251) 432-4117
Updated
Certification Date
Aug 16, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
261QA0005X
- Clinic/Center / Ambulatory Family Planning Facility
208M00000X
- Hospitalist
2085B0100X
- Radiology / Body Imaging
208000000X
- Pediatrics
207V00000X
- Obstetrics & Gynecology
207R00000X
- Internal Medicine
207QG0300X
- Family Medicine / Geriatric Medicine
207QB0002X
- Family Medicine / Obesity Medicine
207QA0505X
- Family Medicine / Adult Medicine
207QA0000X
- Family Medicine / Adolescent Medicine
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.