NORTHEAST ALABAMA HEALTH SERVICES INC - NORTH SAND MOUNTAIN
NPI 1356498505
Clinic/Center - Federally Qualified Health Center (FQHC) in Bryant, AL

Q: What is Northeast Alabama Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since January 03, 2007CLIA 01D1009098 · Waiver

29810 AL HIGHWAY 71, BRYANT, AL 35958(256) 597-4114(256) 597-4115 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Northeast Alabama Health Services Inc - North Sand Mountain NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST ALABAMA HEALTH SERVICES INC - NORTH SAND MOUNTAIN (NPI 1356498505) is a healthcare organization registered as a federally qualified health center (fqhc) in Bryant, Alabama and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists James P Allen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356498505

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameNORTHEAST ALABAMA HEALTH SERVICES, INC.

Location Address29810 AL HIGHWAY 71Bryant, AL 35958-5240

Mailing Address29810 Al Highway 71Bryant, AL 35958-5240 · (256) 597-4114 · Fax (256) 597-4115

Phone(256) 597-4114

Fax(256) 597-4115

Organization SubpartYes

Authorized OfficialJames P AllenCeo · (256) 259-5313

Enumeration DateJanuary 3, 2007

Last NPPES UpdateMay 28, 2024

NPPES CertifiedMay 28, 2024

✔ NPI 1356498505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

29810 AL HIGHWAY 71, Bryant, AL 35958

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Other Names 1

Doing Business AsNortheast Alabama Health Services Inc - North Sand Mountain

Other Identifiers 3

Medicaid630009003AL

Other012401AL · Blue Cross Blue Shield

OtherJ344AL · State Medicare

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D1009098

Northeast Al Health Serv- North Sand Mountain · Bryant, AL

Active · expires Feb 5, 2027

CLIA Number01D1009098

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateFebruary 6, 2025

Certificate Expiration DateFebruary 5, 2027

Laboratory DirectorKristina Parker

Laboratory Phone(256) 597-4114

Laboratory LocationNortheast Al Health Serv- North Sand Mountain29810 Alabama Hwy 71, Bryant, AL 35958

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARI OWENS LICSW, PIP

Social Worker (Clinical)