Organization Name: | CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. |
NPI Number: | 1417068545 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARLETON H. A. PYFROM (PRESIDENT/CEO) |
Mailing Address: | 110 Clinic St New Market |
State: | AL US |
Postal Code: | 357618507 |
Phone Number: | 2563792101 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 05/19/2009 |
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: |