Provider Demographics
NPI:1679595540
Name:HEALTH SERVICES INC
Entity type:Organization
Organization Name:HEALTH SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:R
Authorized Official - Last Name:WALDROP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-420-5001
Mailing Address - Street 1:PO BOX 70355
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36107-0355
Mailing Address - Country:US
Mailing Address - Phone:334-420-5038
Mailing Address - Fax:334-420-0158
Practice Address - Street 1:8578 US HIGHWAY 80 W
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:AL
Practice Address - Zip Code:36785-5417
Practice Address - Country:US
Practice Address - Phone:334-872-1966
Practice Address - Fax:334-872-0909
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-23
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL01D0967311OtherCLIA
AL630004009Medicaid
AL01D0967311OtherCLIA
ALJ237Medicare PIN