Provider Demographics
NPI:1215086020
Name:HELENA FAMILY MEDICINE, LLC
Entity type:Organization
Organization Name:HELENA FAMILY MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:REMILLARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-664-9430
Mailing Address - Street 1:660 HAVENWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:MONTEVALLO
Mailing Address - State:AL
Mailing Address - Zip Code:35115-7846
Mailing Address - Country:US
Mailing Address - Phone:205-665-9192
Mailing Address - Fax:
Practice Address - Street 1:270 VILLAGE PKWY
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AL
Practice Address - Zip Code:35080-4040
Practice Address - Country:US
Practice Address - Phone:205-664-9430
Practice Address - Fax:205-664-1846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21972207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty