NORTHEAST ALABAMA HEALTH SERVICES INC. NPI 1831346386

NPI Information

NORTHEAST ALABAMA HEALTH SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Fort Payne, AL. NORTHEAST ALABAMA HEALTH SERVICES, INC. NPI is 1831346386. The provider is registered as an organization entity type.
The provider Is Doing Business As Northeast Alabama Health Services Inc - Fort Payne.

The provider's business location address is:

3840 GAULT AVE N
FORT PAYNE, AL
ZIP 35967-211
Phone: (256) 844-4975
Fax: (256) 844-4978

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 01D1086825 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2008 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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