NORTHEAST ALABAMA HEALTH SERVICES, INC. (NPI# 1457418659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457418659 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ALABAMA HEALTH SERVICES, INC. |
| Other Organization Name | NORTHEAST ALABAMA HEALTH SERVICES INC - SECTION |
| Practice Address |
60 Main St N Section AL 35771-7168 |
| Practice Telephone | 2562283471 |
| Practice Fax Number | 2562287289 |
| Mailing Telephone | 2562283471 |
| Mailing Fax Number | 2562287289 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2013-04-23 |
| 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 | 630002003 | 05 | |
| AL | STATE MEDICARE | D515 | 01 |
| AL | BLUE CROSS BLUE SHIELD | 010969 | 01 |
| Other Name | Type Code |
|---|---|
| NORTHEAST ALABAMA HEALTH SERVICES INC - SECTION | 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 |
| 1649327883 | Northeast Alabama Health Services, Inc. | Clinic/Center | 13624 County Road 8, Woodville, AL 35776-6162 | 2007-01-03 |
| 1104973353 | Northeast Alabama Health Services, Inc. | Clinic/Center | 34617 Al Highway 75, Fyffe, AL 35971-3488 | 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 |
60 MAIN ST N |
| City | SECTION |
| State | AL |
| Zip Code | 35771-7168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801459367 | Laura Lynn Webster | Nurse Practitioner | 60 Main St N, Section, AL 35771-7168 | 2019-04-19 |
| 1487945309 | Amanda Law Foshee | Family Medicine | 60 Main St N, Section, AL 35771 | 2011-04-26 |
| 1174676308 | Charles Franklin Giddens | Family Medicine | 60 Main St N, Section, AL 35771-7168 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316306442 | Section Pharmacy, Inc. | Pharmacy | 5295 Tammy Little Drive, Sectoin, AL 35771 | 2016-02-17 |
| 1194960062 | James Walter Wright | Dentist | 289 Main St South, Section, AL 35771 | 2008-12-08 |
| 1174748511 | Cindy Mcelyea Dukes | Pharmacist | 5337 Tammy Little Dr, Section, AL 35771 | 2007-04-13 |
| 1124379839 | Amma Health Care Clinic LLC | Clinic/Center | 302 Main St S, Section, AL 35771-7006 | 2012-09-21 |
| 1730352717 | Thompson Mfg.inc. | Durable Medical Equipment & Medical Supplies | 1350 Al Highway 71, Section, AL 35771-7143 | 2008-04-10 |
| 1902867377 | Section Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 5337 Tammy Little Dr, Section, AL 35771-7206 | 2006-03-28 |
| 1023539228 | Monica D Payne | Pharmacist | 5295 Tammy Little Drive, Section, AL 35771-7206 | 2017-06-28 |
| 1346201142 | Jimmy Derrell Massey | Pharmacist | 5337 Tammy Little Dr, Section, AL 35771-7206 | 2006-03-31 |
| 1497716195 | Gay H Massey | Pharmacist | 5337 Tammy Little Dr, Section, AL 35771-7206 | 2006-03-31 |
| 1134117591 | Gurinder J Doad | Family Medicine | 5462 Tammy Little Dr, Section, AL 35771-7208 | 2005-10-11 |
| Find all providers in zip 35771 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1528670452 | The Capstone Rural Health Center | Clinic/Center | 1400 19th St W, Jasper, AL 35501-5171 | 2020-08-21 |
| 1205460268 | The Capstone Rural Health Center | Clinic/Center | 714 12th St W, Jasper, AL 35501-4519 | 2020-02-28 |
| 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.