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NORTHEAST ALABAMA HEALTH SERVICES INC NPI 1659448983


NPI Information

NPI: 1659448983
Provider Name: NORTHEAST ALABAMA HEALTH SERVICES, INC

Other Name: JACKSON COUNTY RURAL HEALTH PROJECT

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
309 TAYLOR ST
SCOTTSBORO, AL
ZIP 35768
Phone: (256) 256-5313
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NORTHEAST ALABAMA HEALTH SERVICES, INC is a federally qualified health center (fqhc) clinic center in Scottsboro, AL. NORTHEAST ALABAMA HEALTH SERVICES, INC NPI is 1659448983. The provider is registered as an organization entity type.
The provider Other Name Is Jackson County Rural Health Project.

The provider's business location address is:

309 TAYLOR ST
SCOTTSBORO, AL
ZIP 35768-421
Phone: (256) 256-5313
Fax: (256) 259-4923

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 enumeration date for this NPI number is 11/30/2006 and was last updated on 4/29/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1630399999MEDICAIDALABAMA
2630000003MEDICAIDALABAMA
3D515MEDICARE ID-TYPE UNSPECIFIEDALABAMAMEDICARE PART B

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: 4/28/2024

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