Active NPI
Central Alabama Comprehensive Health, Inc.
- Federally Qualified Health Center (FQHC)
- Lafayette, AL
National Provider Identifier
1356530372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- CENTRAL ALABAMA COMPREHENSIVE HEALTH, INC.
- Practice address
- 404B 9TH Ave S.W.
Lafayette, AL 36862 - Phone
- (334) 864-0084
- Fax
- (334) 864-2816
- NPI assigned
- Oct 16, 2007
- Organization subpart
- Yes
- Parent organization
- CENTRAL ALABAMA COMPREHENSIVE HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheila G Parker
- Title
- Financial Director
- Phone
- (205) 212-5602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
404B 9TH Ave S.W.
Lafayette, AL 36862
Mailing address
203 West Lee Street
Tuskegee, AL 36083-1719
Phone (205) 212-5602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 630005010 | Medicaid | AL |
Other names 1
- Lafayette Health Center
National Provider Directory
National Provider Directory- Part of
- Central Alabama Comprehensive Health Incorporated
Locations
1351 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-2083
404 9th Ave SW
#B
Lafayette, AL 36862
Phone (334) 864-0084
1910 Waverly Pkwy
Opelika, AL 36801
Phone (334) 528-2380
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physical Therapist
- Phenix City, AL
- NPI 1447233135
-
- Physical Therapist
- Phenix City, AL
- NPI 1275517732
-
- Pediatrics Physician
- Tuskegee, AL
- NPI 1053452417
-
- Internal Medicine Physician
- Montgomery, AL
- NPI 1649214990
-
- Family Nurse Practitioner
- Bangor, ME
- NPI 1003944679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291334400000",
"number": "1356530372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 WEST LEE STREET",
"city": "TUSKEGEE",
"state": "AL",
"postal_code": "360831719",
"telephone_number": "205-212-5602",
"fax_number": "205-212-5610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404B 9TH AVE S.W.",
"city": "LAFAYETTE",
"state": "AL",
"postal_code": "36862",
"telephone_number": "334-864-0084",
"fax_number": "334-864-2816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL ALABAMA COMPREHENSIVE HEALTH, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CENTRAL ALABAMA COMPREHENSIVE HEALTH",
"enumeration_date": "2007-10-16",
"last_updated": "2010-12-03",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "SHEILA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "FINANCIAL DIRECTOR",
"authorized_official_telephone_number": "205-212-5602"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630005010",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lafayette Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lafayette, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.