NPIMap

Organization Active NPI

Health Services, Inc.

Doing business as Goodwater Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Goodwater, AL
National Provider Identifier
1114940830
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTH SERVICES, INC.
Doing business as
Goodwater Family Health Center
Practice address
252 South Main Street
Goodwater, AL 35072
Phone
(256) 839-1758
Fax
(256) 839-6140
NPI assigned
Jul 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Clifford Bernell Mapp
Title
Ceo
Phone
(334) 263-2301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

252 South Main Street
Goodwater, AL 35072

Mailing address

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

Other names 1

  • GOODWATER FAMILY HEALTH CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Miguel Santiago19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114940830",
    "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": "334-264-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 SOUTH MAIN STREET",
            "city": "GOODWATER",
            "state": "AL",
            "postal_code": "35072",
            "telephone_number": "256-839-1758",
            "fax_number": "256-839-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAPP",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "BERNELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-263-2301"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOODWATER FAMILY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodwater, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.