Provider Demographics
NPI:1639272792
Name:CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.
Other - Org Name:HIGHWAY 53 URGENT HEALTH CARE
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:H A
Authorized Official - Last Name:PYFROM
Authorized Official - Suffix:
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 1:3740 HIGHWAY 53
Practice Address - Street 2:SUITE Y
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-4722
Practice Address - Country:US
Practice Address - Phone:256-859-0555
Practice Address - Fax:256-859-4008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALCE7533OtherRAILROAD MEDICARE PART B
ALC19628Medicare UPIN
ALE90659Medicare UPIN
ALF70428Medicare UPIN
ALE33533Medicare UPIN
ALCE7533Medicare UPIN
ALF67202Medicare UPIN
ALF49556Medicare UPIN
ALF69587Medicare UPIN
ALH36522Medicare UPIN
ALI24964Medicare UPIN
ALC73634Medicare UPIN
ALCE7533OtherRAILROAD MEDICARE PART B
ALP86887Medicare UPIN
ALG08686Medicare UPIN
ALJ390Medicare ID - Type Unspecified
ALC82179Medicare UPIN
ALH71488Medicare UPIN