Organization
NORTHEAST ALABAMA HEALTH SERVICES, INC.
Active
Parent organization
NORTHEAST ALABAMA HEALTH SERVICES, INC.
Other names
NORTHEAST ALABAMA HEALTH SERVICES INC - FYFFE
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEAST ALABAMA HEALTH SERVICES, INC.
Authorized official
JAMES P ALLEN JR. (CEO)
(256) 259-5313
Entity
Organization
Contact information
Practice address
34617 AL HIGHWAY 75, FYFFE, AL 35971-3488
(256) 623-5242
(256) 623-5243
Mailing address
34617 AL HIGHWAY 75, FYFFE, AL 35971-3488
(256) 623-5242
(256) 623-5243
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012340
BLUE CROSS BLUE SHIELD
AL
05
—
630008003
—
AL
01
—
I990
STATE MEDICARE
AL
Enumeration date
01/03/2007
Last updated
05/28/2024
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