Prohealth Selma, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

PROHEALTH SELMA, INC

Practice address

1107 Voeglin Ave
Selma, AL 36703-4301

Phone

(334) 418-5081

Fax

(334) 418-5083

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Ray White, PHD

Title

Executive Director

Phone

(334) 418-5081

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Charles Leonard Lett Sr., M.D.

  • Surgery Physician
  • Selma, AL
  • NPI 1437233186
  NPD (past)
• Janice Lanier Parker, CRNP

  • Nurse Practitioner
  • Anniston, AL
  • NPI 1801966486
  NPD (past)
• Tomeka Mechell Royster, CRNP

  • Family Nurse Practitioner
  • Tuscaloosa, AL
  • NPI 1164499372
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1831190263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681151",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681151",
            "telephone_number": "615-591-4750",
            "fax_number": "615-591-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 VOEGLIN AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367034301",
            "telephone_number": "334-418-5081",
            "fax_number": "334-418-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH SELMA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-418-5081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinkie Platt, LPC
• Reneka Kiera Polk, NP
• Preferred Eye Care LLC
• Primary Eyecare Center LLC
• Rheannon Elizabeth Primm, DMD
• Queen City Women's Health
• Sherry Julian Ramsey, LPC
• Mehtab Rana
• Cesar Arthro Ravelo, M.D.
• Reach Occupational Therapy

• Federally Qualified Health Center (FQHC) in Selma, AL
• Providers in Selma, AL by specialty
• Federally Qualified Health Center (FQHC) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.