NPIMap

Organization Active NPI

Central North Alabama Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Huntsville, AL
National Provider Identifier
1407891336
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.
Practice address
751 Pleasant Row NW
Huntsville, AL 35816-2537
Phone
(256) 534-8659
NPI assigned
Jun 17, 2006
Last updated
May 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Mr. Carleton Pyfrom
Title
Ceo
Phone
(256) 534-8659

Specialties & licenses 1

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

Addresses

Primary practice location

751 Pleasant Row NW
Huntsville, AL 35816-2537

Mailing address

110 Walker Ave NE
Huntsville, AL 35801-4739
Phone (256) 534-8659

Other identifiers 1

IdentifierTypeStateIssuer
CE7533OtherALRAILROAD MEDICARE PART B

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040602001065 AL Part B Supplier - Clinic/Group Practice 2668454802 Receives reassigned benefits from 19 practitioners
3 other NPIs on this enrollment
Practice locations: Athens, AL; Toney, AL; New Market, AL; Eva, AL; Huntsville, AL
O20101103000856 AL Part A Provider - Federally Qualified Health Center (FQHC) 2668454802 Practice locations: Huntsville, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407891336. Details of each certification follow.

Federally qualified health center certification: CCN 011838

Legal name
CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.
Doing business as
CENTRAL HEALTH CARE HUNTSVILLE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jul 20, 1982 in AL
Enrollment address
751 Pleasant Row NW
Huntsville, AL 35816-2537

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory

Locations

751 Pleasant Row NW
Huntsville, AL 35816
Phone (256) 533-6311

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Carleton Pyfrom Individual Corporate DirectorPresident/Ceo Jan 1, 2011
W-2 Managing EmployeePresident/Ceo Jan 1, 2011
Arthur Reeves Individual Corporate DirectorBoard Member Jan 20, 2011
Helen Walker Individual Corporate DirectorBoard Chairman Jan 20, 2011
Laura Hall Individual Corporate DirectorBoard Member Jan 20, 2011
Earl Gooding Individual Corporate DirectorSecretary Jan 20, 2011
Harold Grayson Individual Corporate DirectorTreasurer Jan 20, 2011
Laquita Mims Individual Corporate DirectorBoard Member Jan 20, 2011
Samuel Soto Individual Corporate DirectorBoard Member Jan 20, 2011

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
New Market ClinicNew Market, AL, CCN 011976 Federally qualified health center Operational/Managerial Control Jul 20, 1982

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1407891336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WALKER AVE NE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014739",
            "telephone_number": "256-534-8659",
            "fax_number": "256-533-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 PLEASANT ROW NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358162537",
            "telephone_number": "256-534-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "PYFROM",
        "authorized_official_first_name": "CARLETON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-534-8659",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B",
            "identifier": "CE7533",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.