| Northeast Alabama Health Services, Inc. | |
|
60 Main St N Section AL 35771-7168 | |
| (256) 228-3471 | |
| (256) 228-7289 |
| Full Name | Northeast Alabama Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 60 Main St N, Section, Alabama |
| Authorized Official Name and Position | James P Allen (CEO) |
| Authorized Official Contact | 2562595313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Alabama Health Services, Inc. 60 Main St N Section AL 35771-7168 Ph: (256) 228-3471 | Northeast Alabama Health Services, Inc. 60 Main St N Section AL 35771-7168 Ph: (256) 228-3471 |
| NPI Number | 1457418659 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 05/28/2024 |
| Medicare PECOS PAC ID | 4082522883 |
|---|---|
| Medicare Enrollment ID | O20030910000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457418659 | NPI | - | NPPES |
| 010969 | Other | AL | BLUE CROSS BLUE SHIELD |
| 630002003 | Medicaid | AL | |
| D515 | Other | AL | STATE MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Amma Health Care Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 302 Main St S, Section, AL 35771 Phone: 256-259-3778 Fax: 256-259-3759 | |
Education Avenue Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5375 Tammy Little Dr Ste 3, Section, AL 35771 Phone: 256-242-3261 | |
Gurinder Doad Md Phd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5462 Tammy Little Dr, Section, AL 35771 Phone: 256-228-4166 Fax: 256-228-4186 |