Active NPI
CHS Health Services, LLC
- General Practice Physician
- Gadsden, AL
National Provider Identifier
1619399342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- CHS HEALTH SERVICES, LLC
- Practice address
- 922 E Meighan Blvd
Gadsden, AL 35903-1922 - Phone
- (256) 549-2223
- NPI assigned
- Jan 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stuart Clark
- Title
- Executive VP
- Phone
- (703) 760-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
922 E Meighan Blvd
Gadsden, AL 35903-1922
Mailing address
5500 Maryland Way Ste 200
Brentwood, TN 37027-4973
Other names 1
- Goodlife Health Center
National Provider Directory
National Provider Directory- Tax ID family
- Google Wellness Center 321
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467936000000",
"number": "1619399342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 MARYLAND WAY STE 200",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 E MEIGHAN BLVD",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359031922",
"telephone_number": "256-549-2223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHS HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-15",
"last_updated": "2016-07-08",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "STUART",
"authorized_official_title_or_position": "EXECUTIVE VP",
"authorized_official_telephone_number": "703-760-0700"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Goodlife Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gadsden, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.