| Northeast Alabama Health Services Inc- Skyline | |
|
21680 Al Highway 79 Scottsboro AL 35768-5904 | |
| (256) 587-3050 | |
| (256) 587-5243 |
| Full Name | Northeast Alabama Health Services Inc- Skyline |
|---|---|
| Speciality | Clinic/Center |
| Location | 21680 Al Highway 79, Scottsboro, 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- Skyline 21680 Al Highway 79 Scottsboro AL 35768-5904 Ph: (256) 587-3050 | Northeast Alabama Health Services Inc- Skyline 21680 Al Highway 79 Scottsboro AL 35768-5904 Ph: (256) 587-3050 |
| NPI Number | 1093862237 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 05/14/2010 |
| Medicare PECOS PAC ID | 4082522883 |
|---|---|
| Medicare Enrollment ID | O20030910000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093862237 | NPI | - | NPPES |
| F213 | Other | AL | STATE MEDICARE |
| 630007003 | Medicaid | AL | |
| 012222 | Other | AL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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