Organization
NORTHEAST ALABAMA HEALTH SERVICES, INC.
Active
Parent organization
NORTHEAST ALABAMA HEALTH SERVICES INC
Other names
NORTHEAST ALABAMA HEALTH SERVICES, INC- WOODVILLE
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
13624 COUNTY ROAD 8, WOODVILLE, AL 35776-6162
(256) 776-5615
(256) 776-5617
Mailing address
13624 COUNTY ROAD 8, WOODVILLE, AL 35776-6162
(256) 776-5615
(256) 776-5617
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010971
BLUE CROSS BLUE SHIELD
AL
05
—
630003003
—
AL
01
—
F213
STATE MEDICARE
AL
Enumeration date
01/03/2007
Last updated
05/28/2024
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