MEDICARE: HEALTH SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01D0967316	OTHER	AL	CLIA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538181490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	PO BOX 70365
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36107-0365
Country	:	US
Telephone Number	:	334-420-5038
Fax Number	:	334-420-0158

Provider Business Practice Location Address
First Line	:	100 E VANDIVER BLVD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36110-1812
Country	:	US
Telephone Number	:	334-832-4338
Fax Number	:	334-832-9971

Authorized Official
Title or Position	:	CFO
Name	:	SUSIE ANN BEAL
Credential	:
Telephone Number	:	334-420-5001

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	11/29/2023

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Directions to “HEALTH SERVICES INC ” Practice Location

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