NPIMap

Organization Active NPI

Central North Alabama Health Services, Inc.

Doing business as Central Health Care -Athens

  • Federally Qualified Health Center (FQHC)
  • Athens, AL
National Provider Identifier
1881705994
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.
Doing business as
Central Health Care -Athens
Practice address
1005 W Market St
Suite B
Athens, AL 35611-2454
Phone
(256) 230-3061
NPI assigned
Aug 31, 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 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

1005 W Market St
Suite B
Athens, AL 35611-2454

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
CE7533OtherALRAILROAD MEDICARE PART B

Other names 1

  • Central Health Care -Athens Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101103000928 AL Part A Provider - Federally Qualified Health Center (FQHC) 2668454802 Practice locations: Athens, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881705994. Details of each certification follow.

Federally qualified health center certification: CCN 011903

Legal name
CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.
Doing business as
ATHENS FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 9, 2000
Last certification
Mar 9, 2000
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jul 20, 1982 in AL
Enrollment address
1005 W Market St
Ste B
Athens, AL 35611-2454

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
01D0968279Athens Family Health Center1005 West Market Street Suite B, Athens, AL 35611Provider-performed microscopyJan 23, 2028

National Provider Directory

National Provider Directory
Tax ID family
Central No Ala HLTH S I7 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.

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 DirectorDirector/Officer Jan 20, 2011
W-2 Managing EmployeePresident/Ceo Jan 20, 2011
Arthur Reeves Individual Corporate DirectorBoard Member Jan 1, 2017
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

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.

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": "1881705994",
    "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": "1005 W MARKET ST",
            "address_2": "SUITE B",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112454",
            "telephone_number": "256-230-3061"
        }
    ],
    "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": "Central Health Care -Athens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.