Organization
HEALTH SERVICES, INC
Active
Parent organization
HEALTH SERVICES INC.
Other names
Montgomery Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH SERVICES INC.
Authorized official
SUSIE ANN BEAL (CFO)
(334) 420-5001
Entity
Organization
Contact information
Practice address
3060 MOBILE HWY, MONTGOMERY, AL 36108-4027
(334) 293-6670
(334) 293-6676
Mailing address
PO BOX 70365, MONTGOMERY, AL 36107-0365
(334) 263-2301
(334) 264-4353
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01D0967315
CLIA
AL
05
—
630002009
—
AL
Enumeration date
07/26/2006
Last updated
11/29/2023
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