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	207Q00000X	Family Medicine Physician		AL

General Provider Information

NPI Number	:	1760660997
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	:	334-420-5001
Fax Number	:	334-420-0158

Provider Business Practice Location Address
First Line	:	4178 LOMAC ST
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-3606
Country	:	US
Telephone Number	:	334-420-5001
Fax Number	:	334-420-5038

Authorized Official
Title or Position	:	A/R MANAGER
Name	:	RENEE BRUMBY
Credential	:	CPC
Telephone Number	:	334-420-5038

Provider Enumeration Date	:	02/11/2008
Last Update Date	:	02/11/2008

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Directions to “HEALTH SERVICES, INC ” Practice Location

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