NORTHEAST ALABAMA HEALTH SERVICES INC. NPI 1093862237

NPI Information

NORTHEAST ALABAMA HEALTH SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Scottsboro, AL. NORTHEAST ALABAMA HEALTH SERVICES, INC. NPI is 1093862237. The provider is registered as an organization entity type.
The provider Is Doing Business As Northeast Alabama Health Services Inc- Skyline.

The provider's business location address is:

21680 AL HIGHWAY 79
SCOTTSBORO, AL
ZIP 35768-904
Phone: (256) 587-3050
Fax: (256) 587-5243

The provider's authorized official is Deborah F Culpepper .
The authorized official title is Ceo and has the following contact phone number (256) 259-5313.

The CLIA number assigned to this NPI record is 01D0966034 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 5/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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