Organization Active NPI

Central Alabama Comprehensive Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lafayette, AL
National Provider Identifier
1356530372
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
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 HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
630005010MedicaidAL

Other names 1

  • Lafayette Health Center Doing business as

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.

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.

Verify at the official NPI Registry.