Active NPI
Central North Alabama Health Services, Inc.
- Federally Qualified Health Center (FQHC)
- Eva, AL
National Provider Identifier
1972869931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.
- Practice address
- 4208 Eva Rd
Suite B
Eva, AL 35621-7629 - Phone
- (256) 796-7264
- Fax
- (256) 796-2148
- NPI assigned
- Apr 4, 2012
- 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
- Mr. Carleton H.a. Pyfrom
- Title
- President/Ceo
- Phone
- (256) 534-8659
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AL | ||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
4208 Eva Rd
Suite B
Eva, AL 35621-7629
Mailing address
PO Box 18488
Huntsville, AL 35804-8488
Phone (256) 534-8659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040602001065 | AL | Part B Supplier - Clinic/Group Practice | 2668454802 |
Receives reassigned benefits from 19 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Athens, AL; Toney, AL; New Market, AL; Eva, AL; Huntsville, AL |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Huntsville, AL
- NPI 1407891336
O20040602001065
-
- Chiropractor
- Huntsville, AL
- NPI 1487254520
O20040602001065
-
- Urgent Care Clinic/Center
- Huntsville, AL
- NPI 1639272792
O20040602001065
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Birmingham, AL
- NPI 1972714665
-
- Internal Medicine Physician
- Huntsville, AL
- NPI 1154391399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517788800000",
"number": "1972869931",
"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",
"fax_number": "256-533-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4208 EVA RD",
"address_2": "SUITE B",
"city": "EVA",
"state": "AL",
"postal_code": "356217629",
"telephone_number": "256-796-7264",
"fax_number": "256-796-2148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-04",
"last_updated": "2018-02-05",
"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": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eva, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.