Northeast Alabama Health Services Inc - Fyffe | |
34617 Al Highway 75 Fyffe AL 35971-3488 | |
(256) 623-5242 | |
(256) 623-5243 |
Full Name | Northeast Alabama Health Services Inc - Fyffe |
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Speciality | Clinic/Center |
Location | 34617 Al Highway 75, Fyffe, 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 |
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Northeast Alabama Health Services Inc - Fyffe 34617 Al Highway 75 Fyffe AL 35971-3488 Ph: (256) 623-5242 | Northeast Alabama Health Services Inc - Fyffe 34617 Al Highway 75 Fyffe AL 35971-3488 Ph: (256) 623-5242 |
NPI Number | 1104973353 |
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Provider Enumeration Date | 01/03/2007 |
Last Update Date | 05/28/2024 |
Medicare PECOS PAC ID | 4082522883 |
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Medicare Enrollment ID | O20030124000009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104973353 | NPI | - | NPPES |
012340 | Other | AL | BLUE CROSS BLUE SHIELD |
I990 | Other | AL | STATE MEDICARE |
630008003 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |