Provider Demographics
NPI:1518006311
Name:HEALTH SERVICES INC
Entity Type:Organization
Organization Name:HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS RECEIVABLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUMBY
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:334-420-5038
Mailing Address - Street 1:PO BOX 70365
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36107-0365
Mailing Address - Country:US
Mailing Address - Phone:334-263-2304
Mailing Address - Fax:334-263-4353
Practice Address - Street 1:4178 LOMAC ST
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-3606
Practice Address - Country:US
Practice Address - Phone:334-263-2301
Practice Address - Fax:334-263-4353
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-06
Last Update Date:2008-06-24
Deactivation Date:2008-06-05
Deactivation Code:
Reactivation Date:2008-06-13
Provider Licenses
StateLicense IDTaxonomies
AL261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL630002009Medicaid
AL630000009Medicaid
AL630004009Medicaid
AL630006009Medicaid
AL630007009Medicaid
AL630008009Medicaid
AL630009009Medicaid
AL630010009Medicaid
AL630001009Medicaid
AL630003009Medicaid
AL630005009Medicaid