NORTHEAST ALABAMA HEALTH SERVICES, INC. (NPI# 1104973353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104973353 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ALABAMA HEALTH SERVICES, INC. |
| Other Organization Name | NORTHEAST ALABAMA HEALTH SERVICES INC - FYFFE |
| Practice Address |
34617 Al Highway 75 Fyffe AL 35971-3488 |
| Practice Telephone | 2566235242 |
| Practice Fax Number | 2566235243 |
| Mailing Telephone | 2566235242 |
| Mailing Fax Number | 2566235243 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2010-05-14 |
| Authorized Official Name | DEBORAH F CULPEPPER (CEO) |
| Authorized Official Telephone | 2562595313 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHEAST ALABAMA HEALTH SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 630008003 | 05 | |
| AL | BLUE CROSS BLUE SHIELD | 012340 | 01 |
| AL | STATE MEDICARE | I990 | 01 |
| Other Name | Type Code |
|---|---|
| NORTHEAST ALABAMA HEALTH SERVICES INC - FYFFE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790949147 | Northeast Alabama Health Services, Inc. | Clinic/Center | 42950 Us Highway 72, Suite 301, Stevenson, AL 35772-5476 | 2008-07-15 |
| 1528115607 | Northeast Alabama Health Services, Inc. | Clinic/Center | 70 Freedom Drive, Scottsboro, AL 35769-3763 | 2007-01-04 |
| 1457418659 | Northeast Alabama Health Services, Inc. | Clinic/Center | 60 Main St N, Section, AL 35771-7168 | 2007-01-03 |
| 1649327883 | Northeast Alabama Health Services, Inc. | Clinic/Center | 13624 County Road 8, Woodville, AL 35776-6162 | 2007-01-03 |
| 1831346386 | Northeast Alabama Health Services, Inc. | Clinic/Center | 3840 Gault Ave N, Fort Payne, AL 35967-5211 | 2008-08-26 |
| 1093862237 | Northeast Alabama Health Services, Inc. | Clinic/Center | 21680 Al Highway 79, Scottsboro, AL 35768-5904 | 2007-01-03 |
| 1356498505 | Northeast Alabama Health Services, Inc. | Clinic/Center | 29810 Al Highway 71, Bryant, AL 35958-5240 | 2007-01-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHEAST ALABAMA HEALTH SERVICES, INC. | 309 Taylor St, Scottsboro, AL 35768-2421 |
| Street Address |
34617 AL HIGHWAY 75 |
| City | FYFFE |
| State | AL |
| Zip Code | 35971-3488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386019636 | Georgina Kay Knopps | Nurse Practitioner | 34617 Al Highway 75, Fyffe, AL 35971-3488 | 2015-12-10 |
| 1518200864 | John Wayne Moore | Nurse Practitioner | 34617 Al Highway 75, Fyffe, AL 35971-3488 | 2013-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417230269 | T & N Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 34953 Al Hwy 75, Fyffe, AL 35971 | 2011-09-27 |
| 1316220163 | Brook Haven Home, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1580 County Road 43, Fyffe, AL 35971 | 2011-09-27 |
| 1568745321 | North Alabama Family Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4693 Main Street-powell, Fyffe, AL 35971 | 2011-09-27 |
| 1750663985 | Judy B. Haymon Homes, Inc. | Custodial Care Facility | 4693 Main Street-fyffe, Fyffe, AL 35971 | 2011-09-14 |
| 1427231083 | Blackwell's Way | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4140 County Rd 43, Fyffe, AL 35971 | 2007-12-06 |
| 1972886729 | Jackson County Community Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4693 Main Street-powell, Fyffe, AL 35971 | 2011-09-27 |
| 1023175270 | Calvin Oneal Sanders Jr. | Dentist | 1516 Main St, Fyffe, AL 35971 | 2007-01-03 |
| 1043366800 | Fyffe Pharmacy, LLC | Pharmacy | 44 Blackwell St., Fyffe, AL 35971-0067 | 2007-01-26 |
| 1639122542 | Pharmacy Partners LLC | Pharmacy | 1248 Main St, Fyffe, AL 35971-3471 | 2006-05-19 |
| 1457906943 | Tiffany Simpson Mcfall | Pharmacist | 1248 Main St, Fyffe, AL 35971-3471 | 2019-08-02 |
| Find all providers in zip 35971 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1184284986 | Health Services, Inc. | Clinic/Center | 1151 Air Base Blvd Ofc, Montgomery, AL 36108-3103 | 2019-06-14 |
| 1982172367 | Health Services, Inc | Clinic/Center | 3350 S Court St, Montgomery, AL 36105-1606 | 2018-11-05 |
| 1932627858 | Whatley Health Services, Inc. | Clinic/Center | 417 3rd St Se, Aliceville, AL 35442 | 2017-08-30 |
| 1780123372 | Quality of Life Health Services, Inc | Clinic/Center | 404 9th Ave Sw, Lafayette, AL 36862-2806 | 2017-02-16 |
| 1487104691 | Whatley Health Services Inc | Clinic/Center | 142 School Street, Oakman, AL 35579 | 2016-10-12 |
| 1831568237 | Quality of Life Health Services, Inc | Clinic/Center | 1502 11th Ave, Phenix City, AL 36867-4905 | 2015-09-16 |
| 1477939031 | Whatley Health Services, Inc. | Clinic/Center | 3601 Stillman Blvd, Tuscaloosa, AL 35401-2601 | 2015-08-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.