NPIMap

Organization Active NPI

Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Montgomery, AL
National Provider Identifier
1053433797
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTH SERVICES, INC
Practice address
1845 Cherry St
Montgomery, AL 36107-2613
Phone
(334) 263-2301
Fax
(334) 263-0881
NPI assigned
Apr 4, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Susie Ann Beal
Title
Cfo
Phone
(334) 420-5001

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20041201000952 AL Part B Supplier - Clinic/Group Practice 1557324811 Receives reassigned benefits from 53 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clanton, AL; Ramer, AL; Montgomery, AL; Hayneville, AL; Eclectic, AL; Autaugaville, AL

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X AL Primary

Addresses

NPPES NPI Registry

Primary practice location

1845 Cherry St
Montgomery, AL 36107-2613

Mailing address

PO Box 70365
Montgomery, AL 36107-0365
Phone (334) 263-2301

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
100001919MedicaidAL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 29, 2023.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1053433797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70365",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361070365",
            "telephone_number": "334-263-2301",
            "fax_number": "334-263-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 CHERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361072613",
            "telephone_number": "334-263-2301",
            "fax_number": "334-263-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "334-420-5001"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001919",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.