Organization Name: | NORTHEAST ALABAMA HEALTH SERVICES, INC. |
NPI Number: | 1356498505 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH F CULPEPPER (CEO) |
Mailing Address: | 29810 Al Highway 71 Bryant |
State: | AL US |
Postal Code: | 359585240 |
Phone Number: | 2565974114 |
Fax Number: | 2565974115 |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 05/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |