Northeast Alabama Health Services, Inc- Woodville | |
13624 County Road 8 Woodville AL 35776-6162 | |
(256) 776-5615 | |
(256) 776-5617 |
Full Name | Northeast Alabama Health Services, Inc- Woodville |
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Speciality | Clinic/Center |
Location | 13624 County Road 8, Woodville, 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- Woodville 13624 County Road 8 Woodville AL 35776-6162 Ph: (256) 776-5615 | Northeast Alabama Health Services, Inc- Woodville 13624 County Road 8 Woodville AL 35776-6162 Ph: (256) 776-5615 |
NPI Number | 1649327883 |
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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 | O20110125000369 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649327883 | NPI | - | NPPES |
630003003 | Medicaid | AL | |
010971 | Other | AL | BLUE CROSS BLUE SHIELD |
F213 | Other | AL | STATE MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |