{"npi":"1316201809","type":"NPI-2","status":"active","name":{"display":"Cahaba Medical Care Foundation","other":[],"organization_name":"CAHABA MEDICAL CARE FOUNDATION","authorised_official":"John Waits"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"195 HOSPITAL DR","city":"CENTREVILLE","state":"AL","postal_code":"350422935","country_code":"US","phone":"2059262992","fax":"2059262993"},{"purpose":"MAILING","street_1":"195 HOSPITAL DR","city":"CENTREVILLE","state":"AL","postal_code":"350422935","country_code":"US","phone":"2059262992","fax":"2059262993"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"01-1029","state":"AL","issuer":"MEDICARE PTAN"},{"type_code":"01","label":"Other","value":"01-1030","state":"AL","issuer":"MEDICARE PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20120814000537","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20121120000238","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20150413001444","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20151113002031","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20170201001483","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20170202002202","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20170523002098","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20180625001571","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20180626000967","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20180804000052","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20190402002891","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20190405001803","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20191018001611","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20191021002028","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20191022000377","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20191022000833","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20191022001213","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20200803000701","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20210408000187","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20210910000875","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20211025000808","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20220419000844","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20220727000618","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20221024002855","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20230127002805","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20230614000476","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"},{"enrlmt_id":"O20231213004106","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"1355597923"}]},"enumeration_date":"2012-06-28","last_updated":"2017-06-05","_meta":{"source":"NPPES","snapshot_date":"2017-06-05","doc_url":"https://findmynpi.com/api"}}