CENTRAL ALABAMA COMPREHENSIVE HEALTH INC (NPI# 1215078159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215078159 |
| Entity Type | Organization |
| Organization Name | CENTRAL ALABAMA COMPREHENSIVE HEALTH INC |
| Practice Address |
203 West Lee Street Tuskegee AL 36083 |
| Practice Telephone | 2052125602 |
| Practice Fax Number | 2052125610 |
| Mailing Telephone | 3347277050 |
| Mailing Fax Number | 3347276284 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2009-05-26 |
| Authorized Official Name | SHEILA G PARKER (FINANCIAL DIRECTOR) |
| Authorized Official Telephone | 2052125602 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 630000010 | 05 |
| Street Address |
203 WEST LEE STREET |
| City | TUSKEGEE |
| State | AL |
| Zip Code | 36083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790726867 | Lasan Davis | Family Medicine | 203 West Lee Street, Tuskegee, AL 36083 | 2006-06-09 |
| 1982929519 | Tony A Bodiford | Pharmacist | 203 West Lee Street, Tuskegee, AL 36083-1714 | 2010-04-07 |
| 1518282144 | Adrian Taylor | Pharmacy Technician | 203 West Lee Street, Tuskegee, AL 36083-1714 | 2010-04-07 |
| 1760523609 | Danilo Judit | Internal Medicine | 203 West Lee Street, Tuskegee, AL 36083 | 2007-02-12 |
| 1053452417 | Fazle Matin | Pediatrics | 203 West Lee Street, Tuskegee, AL 36083 | 2007-02-09 |
| 1790879930 | Eugene Evans | Family Medicine | 203 West Lee Street, Tuskegee, AL 36083 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972698587 | Nguyet H Smith | Pharmacist | Central Alabama Veterans Health Care System, Pharmacy, 2400 Hospital Road, Tuskegee, AL 36083 | 2006-10-03 |
| 1619908795 | Carmen Elizabeth Beverly | Podiatrist | Cavhcs 2400 Hospital Rd, Dm Clinic, Tuskegee, AL 36083 | 2006-07-06 |
| 1275564635 | Tim Landers | Audiologist | 2400 Hospital Rd., Cavhcs - 126, Tuskegee, AL 36083 | 2006-07-05 |
| 1831144344 | Denise Free Lensgraf-landers | Audiologist | Cavhcs Audiology (117), 2400 Hospital Road, Tuskegee, AL 36083 | 2006-05-23 |
| 1396705836 | Mark Patrick Mcguire | Optometrist | 2400 Hosptial Road, Eye Clinic Cavhcs, Tuskegee, AL 36083 | 2006-03-27 |
| 1164402863 | Lisa R Green | Optometrist | 2400 Hospital Rd Bldg 3, Tuskegee, AL 36083 | 2006-01-19 |
| 1265775936 | Shari Smith | Social Worker | 2400 Hospital Rd., Cavhcs- Social Work Services, Tuskegee, AL 36083 | 2013-04-01 |
| 1689902710 | Penny M Genous | Social Worker | 2400 Hospital Rd, Tuskegee, AL 36083 | 2009-12-01 |
| 1194954255 | Kevin Mcbeth Johnson | Student in an Organized Health Care Education/Training Program | 2400 Hospital Rd, Tuskegee, AL 36083 | 2009-07-10 |
| 1861638025 | Andrea Darmyka Steen | Social Worker | 2400 Hospital Road, Tuskegee, AL 36083 | 2008-12-18 |
| Find all providers in zip 36083 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770929028 | Quality of Life Health Services, Inc | Clinic/Center | 1201 Notasulga Road, Tuskegee, AL 36083-7115 | 2013-05-14 |
| 1518101161 | Tuskegee University Student Clinic | Clinic/Center | 203 W Lee St, Tuskegee University Campus, Tuskegee, AL 36083-1719 | 2009-04-27 |
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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.