ECLECTIC FAMILY CARE, LLC
NPI 1376613869
Specialist in Eclectic, AL

Active since November 09, 2006CLIA 01D0905035 · Waiver
575 CLAUD RD, ECLECTIC, AL 36024(334) 541-3020(334) 541-3109 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eclectic Family Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ECLECTIC FAMILY CARE, LLC (NPI 1376613869) is a healthcare organization registered as a specialist in Eclectic, Alabama and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through December 5, 2027 and lists Gary Lee Mcculloch, Owner, as its authorized official.

NPPES Registry Identity

NPI1376613869
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameECLECTIC FAMILY CARE, LLC
Location Address575 CLAUD RDEclectic, AL 36024-6318
Mailing AddressPo Box 241120Eclectic, AL 36024-0018 · (334) 541-3020 · Fax (334) 541-3109
Fax(334) 541-3109
Organization SubpartNo
Authorized OfficialGary Lee MccullochOwner · (334) 541-3020
Enumeration DateNovember 9, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1376613869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in AL · 12809
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

575 CLAUD RD, Eclectic, AL 36024

Other Identifiers 1

Medicaid99530AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D0905035

Eclectic Family Care LLC · Eclectic, AL
Active · expires Dec 5, 2027
CLIA Number01D0905035
Laboratory TypePhysician Office
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorGary Mcculloch
Laboratory Phone(334) 541-3020
Laboratory LocationEclectic Family Care LLC575 Claud Road Suite 1000, Eclectic, AL 36024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
575 CLAUD RD, STE 2000
ECLECTIC, AL 36024
Physician Assistant
575 CLAUD RD
ECLECTIC, AL 36024
Family Medicine
575 CLAUD RD
ECLECTIC, AL 36024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eclectic Family Care, LLC's NPI number?

The NPI number for Eclectic Family Care, LLC is 1376613869. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Eclectic Family Care, LLC located?

Eclectic Family Care, LLC is located at 575 Claud Rd, Eclectic, AL 36024. The listed phone number is (334) 541-3020.

What is Eclectic Family Care, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Eclectic Family Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0905035) is associated with this NPI, valid through December 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eclectic Family Care, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.