{"npi":"1356498505","type":"NPI-2","status":"active","name":{"display":"Northeast Alabama Health Services, Inc.","other":[],"organization_name":"NORTHEAST ALABAMA HEALTH SERVICES, INC.","authorised_official":"James Allen"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"29810 AL HIGHWAY 71","city":"BRYANT","state":"AL","postal_code":"359585240","country_code":"US","phone":"2565974114","fax":"2565974115"},{"purpose":"MAILING","street_1":"29810 AL HIGHWAY 71","city":"BRYANT","state":"AL","postal_code":"359585240","country_code":"US","phone":"2565974114","fax":"2565974115"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"630009003","state":"AL","issuer":null},{"type_code":"01","label":"Other","value":"012401","state":"AL","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"01","label":"Other","value":"J344","state":"AL","issuer":"STATE MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20030312000004","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"AL","pac_id":"4082522883"}]},"enumeration_date":"2007-01-03","last_updated":"2024-05-28","_meta":{"source":"NPPES","snapshot_date":"2024-05-28","doc_url":"https://findmynpi.com/api"}}