NORTHEAST ALABAMA HEALTH SERVICES INC. NPI 1104973353

NPI Information

NPI: 1104973353
Provider Name: NORTHEAST ALABAMA HEALTH SERVICES, INC.

Doing Business As: NORTHEAST ALABAMA HEALTH SERVICES INC - FYFFE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
34617 AL HIGHWAY 75
FYFFE, AL
ZIP 35971
Phone: (256) 623-5242
Get Directions

NORTHEAST ALABAMA HEALTH SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Fyffe, AL. NORTHEAST ALABAMA HEALTH SERVICES, INC. NPI is 1104973353. The provider is registered as an organization entity type.
The provider Is Doing Business As Northeast Alabama Health Services Inc - Fyffe.

The provider's business location address is:

34617 AL HIGHWAY 75
FYFFE, AL
ZIP 35971-488
Phone: (256) 623-5242
Fax: (256) 623-5243

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 01D1001251 - rural health 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:

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

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	012340	OTHER	ALABAMA	BLUE CROSS BLUE SHIELD
2	630008003	MEDICAID	ALABAMA
3	I990	OTHER	ALABAMA	STATE MEDICARE
4	=========013	OTHER	ALABAMA	TRICARE NUMBER
5	011920	MEDICARE ID-TYPE UNSPECIFIED	ALABAMA	MEDICARE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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