Organization
HEALTH SERVICES INC
Active
Parent organization
HEALTH SERVICES INC
Other names
CLANTON 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
107 MEDICAL CENTER DR, CLANTON, AL 35045-2331
(205) 755-3980
(205) 755-0119
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
—
01D0996053
CLIA
AL
05
—
630008009
—
AL
Enumeration date
07/23/2006
Last updated
11/29/2023
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