| Organization Name: | NORTHEAST ALABAMA HEALTH SERVICES, INC. |
| NPI Number: | 1790949147 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH F CULPEPPER (CEO) |
| Mailing Address: | 42950 Us Highway 72 Suite 301 Stevenson |
| State: | AL US |
| Postal Code: | 357725476 |
| Phone Number: | 2564379962 |
| Fax Number: | 2564379965 |
| NPI Enumeration Date: | 07/15/2008 |
| 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: | |