NORTHEAST ALABAMA HEALTH SERVICES, INC. (NPI# 1649327883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649327883 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ALABAMA HEALTH SERVICES, INC. |
| Other Organization Name | NORTHEAST ALABAMA HEALTH SERVICES, INC- WOODVILLE |
| Practice Address |
13624 County Road 8 Woodville AL 35776-6162 |
| Practice Telephone | 2567765615 |
| Practice Fax Number | 2567765617 |
| Mailing Telephone | 2567765615 |
| Mailing Fax Number | 2567765617 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2013-06-03 |
| 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 | STATE MEDICARE | F213 | 01 |
| AL | BLUE CROSS BLUE SHIELD | 010971 | 01 |
| AL | 630003003 | 05 |
| Other Name | Type Code |
|---|---|
| NORTHEAST ALABAMA HEALTH SERVICES, INC- WOODVILLE | 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 |
| 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 |
13624 COUNTY ROAD 8 |
| City | WOODVILLE |
| State | AL |
| Zip Code | 35776-6162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365807 | Blair Hunter | Nurse Practitioner | 13624 County Road 8, Woodville, AL 35776-6162 | 2020-01-22 |
| 1700151396 | Matthew Tobias Mccauley | Nurse Practitioner | 13624 County Road 8, Woodville, AL 35776-6162 | 2012-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366825 | Jennifer Kay Burner | Pharmacist | 801 Challenger Dr, Woodville, OH 43469-9812 | 2020-11-03 |
| 1417554486 | Linda Meyer | Driver | 910 County Road 32, Woodville, OH 43469-9767 | 2020-10-02 |
| 1871109736 | Jason Voth | Registered Nurse | 1310 W Pavillion St, Woodville, TX 75979-4619 | 2020-09-16 |
| 1962025171 | Shewana Spencer | Nurse Practitioner | 613 W Bluff St, Woodville, TX 75979-5125 | 2020-05-21 |
| 1902439649 | Miesha Mcneal | Licensed Vocational Nurse | 1284 Cr 2100, Woodville, TX 75979 | 2020-02-21 |
| 1043871890 | Lyndsey Nicole Kinard | Home Health Aide | 114 Pr 6138, Woodville, TX 75979 | 2019-06-24 |
| 1487137824 | Dmctx1, Pllc | Family Medicine | 703 W. Bluff St., Woodville, TX 75979-5131 | 2018-09-12 |
| 1134607393 | Granger LLC | Non-emergency Medical Transport (VAN) | 16 Flower Ln, Woodville, MS 39669 | 2018-07-31 |
| 1427546209 | Woodsville Dentistry Pllc | Dentist | 1209 W Bluff St, Woodville, TX 75979-4739 | 2018-04-26 |
| 1881195410 | Taylour Renee Shuffelbarger Pearcy | Licensed Vocational Nurse | 1543 Lakewood Dr, Woodville, TX 75979-7349 | 2018-02-28 |
| Find all providers in WOODVILLE | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1720211386 | Family Health Care Clinic, Inc. | Clinic/Center | 1823 Highway 24 West, Woodville, MS 39669 | 2009-08-31 |
| 1336381946 | Family Health Care Clinic, Inc. | Clinic/Center | 1495 Us Highway 61 S, Woodville, MS 39669 | 2009-03-27 |
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| 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.