NORTHEAST ALABAMA HEALTH SERVICES, INC. (NPI# 1790949147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790949147 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ALABAMA HEALTH SERVICES, INC. |
| Other Organization Name | NORTHEAST ALABAMA HEALTH SERVICES INC - STEVENSON |
| Practice Address |
42950 Us Highway 72 Suite 301 Stevenson AL 35772-5476 |
| Practice Telephone | 2564379962 |
| Practice Fax Number | 2564379965 |
| Mailing Telephone | 2564379962 |
| Mailing Fax Number | 2564379965 |
| Enumeration Date | 2008-07-15 |
| 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 | 105275 | 05 |
| Other Name | Type Code |
|---|---|
| NORTHEAST ALABAMA HEALTH SERVICES INC - STEVENSON | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
42950 US HIGHWAY 72 SUITE 301 |
| City | STEVENSON |
| State | AL |
| Zip Code | 35772-5476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164859138 | North Jackson Urgent Care LLC | Clinic/Center | 42950 U.S. Highway 72, Stevenson, AL 35772 | 2013-10-04 |
| 1699932780 | Jennifer Nicole Herrell | Pharmacist | 85 Bank Street, Stevenson, AL 35772 | 2008-05-17 |
| 1285839688 | Green Medical Group, PC | Family Medicine | 42950 Al Hwy 72, Suite 301, Stevenson, AL 35772 | 2007-06-18 |
| 1659456879 | North Jackson Dental Care | Dentist | 105 Adams Street, Stevenson, AL 35772 | 2006-10-26 |
| 1437268273 | Belinda P Ballard | Pharmacist | Co Rd 350, Stevenson, AL 35772 | 2006-08-29 |
| 1487976536 | Therapy Unlimited, Inc | Clinic/Center | 104 Adams St, Stevenson, AL 35772 | 2010-02-17 |
| 1770643371 | Stephen Scott Shepherd | Dentist | 105 Adams Street, Stevenson, AZ 35772 | 2006-12-12 |
| 1609922467 | T. Murali Mohan | Family Medicine | 230 Kentucky Ave, Stevenson, AL 35772-3102 | 2007-01-26 |
| 1255487039 | Bridgeport Family Practice Obgyn Clinic | Family Medicine | 230 Kentucky Ave, Stevenson, AL 35772-3102 | 2007-01-26 |
| 1245386093 | Asha P Mohan | Family Medicine | 230 Kentucky Ave, Stevenson, AL 35772-3102 | 2007-01-26 |
| Find all providers in zip 35772 | ||||
| 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.