NPIMap

Organization Active NPI

Central North Alabama Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Market, AL
National Provider Identifier
1417068545
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
110 Clinic St
New Market, AL 35761-8507
Phone
(256) 379-2101
NPI assigned
Aug 31, 2006
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 H. a. Pyfrom
Title
President/Ceo
Phone
(256) 534-8659

Specialties & licenses 1

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

Addresses

Primary practice location

110 Clinic St
New Market, AL 35761-8507

Mailing address

PO Box 18488
Huntsville, AL 35804-8488
Phone (256) 534-8659

Other identifiers 1

IdentifierTypeStateIssuer
CE7533OtherALRAILROAD MEDICARE PART B

Other names 1

  • New Market Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110325000707 AL Part A Provider - Federally Qualified Health Center (FQHC) 2668454802 Practice locations: New Market, AL

Federally qualified health center certification: CCN 011976

Legal name
CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.
Doing business as
NEW MARKET CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 31, 2011
Last certification
Mar 31, 2011
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 20, 1982 in AL
Enrollment address
110 Clinic Street
New Market, AL 35761-8507

Other NPIs with the same Medicare PAC ID 4

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0996655New Market Clinic110 Clinic Street, New Market, AL 35761Provider-performed microscopyFeb 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
Central North Alabama Health Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

110 Clinic St
New Market, AL 35761
Phone (256) 379-2101

Ownership & related parties

All disclosed owners & managing parties 9

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 Jul 1, 1982
W-2 Managing EmployeePresident/Ceo Jan 20, 2011
Arthur Reeves Individual Corporate DirectorBoard Member Jan 1, 2017
Central North Alabama Health Services, Inc. Organization, New Market, AL Non-profit Operational/Managerial Control Jul 20, 1982
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 1, 2018
Laquita Mims Individual Corporate DirectorBoard Member Jan 1, 2017
Samuel Soto Individual Corporate DirectorBoard Member Jan 1, 2017

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1417068545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18488",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358048488",
            "telephone_number": "256-534-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CLINIC ST",
            "city": "NEW MARKET",
            "state": "AL",
            "postal_code": "357618507",
            "telephone_number": "256-379-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "PYFROM",
        "authorized_official_first_name": "CARLETON",
        "authorized_official_middle_name": "H. A.",
        "authorized_official_title_or_position": "PRESIDENT/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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B",
            "identifier": "CE7533",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Market Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Market, AL

Sources for this page

Verify at the official NPI Registry.