Provider Demographics
NPI:1285293217
Name:CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARLETON
Authorized Official - Middle Name:H A
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 1:8208 HIGHWAY 53
Practice Address - Street 2:
Practice Address - City:TONEY
Practice Address - State:AL
Practice Address - Zip Code:35773-8582
Practice Address - Country:US
Practice Address - Phone:256-851-8804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-12
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty