| Northeast Alabama Health Services Inc - Fort Payne | |
|
3840 Gault Ave N Fort Payne AL 35967-5211 | |
| (256) 844-4975 | |
| (256) 844-4978 |
| Full Name | Northeast Alabama Health Services Inc - Fort Payne |
|---|---|
| Speciality | Clinic/Center |
| Location | 3840 Gault Ave N, Fort Payne, 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 - Fort Payne 3840 Gault Ave N Fort Payne AL 35967-5211 Ph: (256) 844-4975 | Northeast Alabama Health Services Inc - Fort Payne 3840 Gault Ave N Fort Payne AL 35967-5211 Ph: (256) 844-4975 |
| NPI Number | 1831346386 |
|---|---|
| Provider Enumeration Date | 08/26/2008 |
| Last Update Date | 05/28/2024 |
| Medicare PECOS PAC ID | 4082522883 |
|---|---|
| Medicare Enrollment ID | O20080910000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831346386 | NPI | - | NPPES |
| 105198 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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