| NPI | 1104973353 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-01-03 |
| Last Updated | 2024-05-28 |
| Authorized Official | James Allen CEO Phone: 2562595313 |
| Mailing Address | 34617 Al Highway 75 Fyffe, AL 35971-3488 United States Phone: (256) 623-5242 | Fax: (256) 623-5243 📍 View Map |
| Primary Practice Address | 34617 Al Highway 75 Fyffe, AL 35971-3488 United States Phone: (256) 623-5242 | Fax: (256) 623-5243 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | AL | 012340 | BLUE CROSS BLUE SHIELD |
| MEDICAID | AL | 630008003 | - |
| Other (non-Medicare) | AL | ========= | TRICARE NUMBER |
| Other (non-Medicare) | AL | I990 | STATE MEDICARE |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | - | - |
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About NPI 1104973353
Northeast Alabama Health Services, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1104973353. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Fyffe, AL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-01-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104973353?
NPI 1104973353 belongs to Northeast Alabama Health Services, Inc., a Clinic/Center, Federally Qualified Health Center (FQHC) in Fyffe, AL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104973353 active?
The current status of NPI 1104973353 in the NPPES registry is Active. The record was last updated on 2024-05-28.
What specialty is NPI 1104973353?
NPI 1104973353 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104973353?
You can verify NPI 1104973353 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104973353?
The primary practice address on file for NPI 1104973353 is 34617 Al Highway 75, Fyffe, AL 35971-3488. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104973353 issued?
NPI 1104973353 was first issued (enumerated) on 2007-01-03. The NPPES record was last updated on 2024-05-28.
Practice Location Map
Northeast Alabama Health Services, Inc. is located at 34617 Al Highway 75, Fyffe, AL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Northeast Alabama Health Services, Inc.. All records sourced from the CMS NPPES registry.