| Northeast Alabama Health Services Inc - Section | |
|
60 Main St N Section AL 35771-7168 | |
| (256) 228-3471 | |
| (256) 228-7289 |
| Full Name | Northeast Alabama Health Services Inc - Section |
|---|---|
| Speciality | Clinic/Center |
| Location | 60 Main St N, Section, Alabama |
| Authorized Official Name and Position | Deborah F Culpepper (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 - Section 60 Main St N Section AL 35771-7168 Ph: (256) 228-3471 | Northeast Alabama Health Services Inc - Section 60 Main St N Section AL 35771-7168 Ph: (256) 228-3471 |
| NPI Number | 1457418659 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 04/23/2013 |
| Medicare PECOS PAC ID | 4082522883 |
|---|---|
| Medicare Enrollment ID | O20030910000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457418659 | NPI | - | NPPES |
| 630002003 | Medicaid | AL | |
| 010969 | Other | AL | BLUE CROSS BLUE SHIELD |
| D515 | Other | AL | STATE MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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