Healthcare Provider Details

I. General information

NPI: 1164361424
Provider Name (Legal Business Name): HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 W FAIRVIEW AVE RM A112
MONTGOMERY AL
36108-4118
US

IV. Provider business mailing address

1845 CHERRY ST
MONTGOMERY AL
36107-2613
US

V. Phone/Fax

Practice location:
  • Phone: 334-420-5001
  • Fax: 334-264-0019
Mailing address:
  • Phone: 334-420-5001
  • Fax: 334-264-0019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MONISHA RUDOLPH
Title or Position: HR PROVIDER ENROLLMENT SPECIALIST
Credential:
Phone: 334-420-5001