Organization
HEALTH SERVICES INC
Active
Parent organization
HEALTH SERVICES INC
Other names
CHISHOLM FAMILY HEALTH CENTER
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
100 E VANDIVER BLVD, MONTGOMERY, AL 36110-1812
(334) 832-4338
(334) 832-9971
Mailing address
PO BOX 70365, MONTGOMERY, AL 36107-0365
(334) 420-5038
(334) 420-0158
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01D0967316
CLIA
AL
05
—
630003009
—
AL
Enumeration date
07/23/2006
Last updated
11/29/2023
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