Provider Demographics
NPI:1447269089
Name:ASHLAND FAMILY CARE
Entity type:Organization
Organization Name:ASHLAND FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:OGLES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-354-5064
Mailing Address - Street 1:PO BOX 1385
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:AL
Mailing Address - Zip Code:36251-1500
Mailing Address - Country:US
Mailing Address - Phone:256-354-5064
Mailing Address - Fax:256-354-7099
Practice Address - Street 1:83745 HWY 9
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:AL
Practice Address - Zip Code:36251
Practice Address - Country:US
Practice Address - Phone:256-354-5064
Practice Address - Fax:256-354-7099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALG90351Medicare UPIN