QUALITY OF LIFE HEALTH SERVICES, INC (CLAY QUALITY HEALTH CARE) - NPI NUMBER 1598187783

Summary

Provider Name: QUALITY OF LIFE HEALTH SERVICES, INC (CLAY QUALITY HEALTH CARE)

NPI Number: 1598187783

Clasification: Clinic/Center (261QF0400X)

Specialization: Federally Qualified Health Center (FQHC)

Address:
40745 HIGHWAY 77
ASHLAND, AL
ZIP 36251

Phone Number: (256) 492-0131



Detailed Information

QUALITY OF LIFE HEALTH SERVICES, INC is a federally qualified health center (fqhc) clinic/center in Ashland, AL. The assigned NPI number for this provider is 1598187783 and is registered as an organization entity type.
The provider Is Doing Business As Clay Quality Health Care.

The provider's business address is:

40745 HIGHWAY 77
ASHLAND, AL
ZIP 36251-807
Phone: (256) 492-0131

The provider's authorized official is Wayne Rowe .
The authorized official title is Ceo and has the following contact phone number (256) 492-0131.

The enumeration date for this NPI number is 1/8/2014 and was last updated on 1/8/2014.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1467855445 CLAY COUNTY HEALTHCARE AUTHORITY
Clinic/Center (Primary Care)





Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) Yes

NPI Record

No. Field Name Field Value
1 NPI 1598187783
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name QUALITY OF LIFE HEALTH SERVICES, INC
5 Provider Other Organization Name CLAY QUALITY HEALTH CARE
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 40745 HIGHWAY 77
8 Provider Business Practice Location Address City Name ASHLAND
9 Provider Business Practice Location Address State Name AL
10 Provider Business Practice Location Address Postal Code 362514807
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 2564920131
13 Provider Enumeration Date 1/8/2014
14 Last Update Date 1/8/2014
15 Authorized Official Last Name ROWE
16 Authorized Official First Name WAYNE
17 Authorized Official Title or Position CEO
18 Authorized Official Telephone Number 2564920131
19 Healthcare Provider Taxonomy Code 1 261QF0400X
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Organization Subpart N
22 Authorized Official Credential Text MPA

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.