Provider Demographics
NPI:1366478083
Name:CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.
Other - Org Name:SPECTRUM HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLETON
Authorized Official - Middle Name:
Authorized Official - Last Name:PYFROM
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:256-534-8659
Mailing Address - Street 1:PO BOX 18488
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35804-8488
Mailing Address - Country:US
Mailing Address - Phone:256-534-8659
Mailing Address - Fax:256-533-0276
Practice Address - Street 1:1310 PULASKI PIKE
Practice Address - Street 2:SUITE A
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35816-2528
Practice Address - Country:US
Practice Address - Phone:256-539-4457
Practice Address - Fax:256-539-6823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51530154OtherBLUE CROSS BLUE SHIELDS
AL51547536OtherBLUE CROSS BLUE SHIELDS
AL51547535OtherBLUE CROSS BLUE SHIELDS
AL51547537OtherBLUE CROSS BLUE SHIELDS
AL51517371OtherBLUE CROSS BLUE SHIELDS
AL51541456OtherBLUE CROSS BLUE SHIELDS
AL51531178OtherBLUE CROSS BLUE SHIELDS
AL51547537OtherBLUE CROSS BLUE SHIELDS
AL51547537OtherBLUE CROSS BLUE SHIELDS
AL51517371OtherBLUE CROSS BLUE SHIELDS