SOUTHERN RURAL HEALTH CARE CONSORTIUM (NPI# 1508938200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508938200 |
| Entity Type | Organization |
| Organization Name | SOUTHERN RURAL HEALTH CARE CONSORTIUM |
| Other Organization Name | ROGERSVILLE FAMILY PRACTICE |
| Practice Address |
16410 Hwy 72 Rogersville AL 35652 |
| Mailing Address |
Po Box 970 Russellville AL 35653-0970 |
| Practice Telephone | 2563321631 |
| Practice Fax Number | 2563324600 |
| Mailing Telephone | 2563321631 |
| Mailing Fax Number | 2563324600 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2010-09-14 |
| Authorized Official Name | MRS. KATHY L HALL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2563321631 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 630003001 | 05 |
| Other Name | Type Code |
|---|---|
| Rogersville Family Practice | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083801278 | Southern Rural Health Care Consortium | Nurse Practitioner | 1852 Beltline Road, Suite A, Decatur, AL 35601-0000 | 2007-10-02 |
| 1700073996 | Southern Rural Health Care Consortium | Nurse Practitioner | 2112 6th Avenue Se, Decatur, AL 35601-0000 | 2007-10-02 |
| 1437346624 | Southern Rural Health Care Consortium | Family Medicine | 15225 Hwy 43 Bypass, Russellville, AL 35653-0000 | 2007-10-02 |
| 1861577900 | Southern Rural Health Care Consortium | Clinic/Center | 508 St Claire Se, Russellville, AL 35653 | 2006-10-26 |
| 1225049828 | Southern Rural Health Care Consortium | Home Health | 508 Saint Clair St Se, Russellville, AL 35653-2720 | 2006-08-10 |
| 1619164803 | Southern Rural Health Care Consortium | Family Medicine | 68 Marco Dr, Decatur, AL 35603-0000 | 2007-10-02 |
| 1255528444 | Southern Rural Health Care Consortium | Pediatrics | 2112 6th Avenue Se, Decatur, AL 35601-0000 | 2007-10-02 |
| 1265629455 | Southern Rural Health Care Consortium | Nurse Practitioner | 1841 Al Hwy 20, Town Creek, AL 35672-0369 | 2007-10-02 |
| 1891982088 | Southern Rural Health Care Consortium | Nurse Practitioner | 1852 Beltline Road, Suite A, Decatur, AL 35601-0000 | 2007-10-02 |
| 1528255718 | Southern Rural Health Care Consortium | Family Medicine | 1852 Beltline Road, Suite A, Decatur, AL 35601-0000 | 2007-10-02 |
| Street Address |
16410 HWY 72 |
| City | ROGERSVILLE |
| State | AL |
| Zip Code | 35652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073700266 | Southern Rural Health Care Consortium | Family Medicine | 16410 Hwy 72, Rogersville, AL 35652-0000 | 2007-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164030300 | Caleb Jeffery Hodges | Dentist | 16090 Us-72, Rogersville, AL 35652 | 2020-07-14 |
| 1386079739 | Thomas Daniel Eck | Physical Medicine & Rehabilitation | 48 Market Square, Rogersville, AL 35652 | 2013-09-04 |
| 1588992333 | Family Health Care Clinic, Inc. | Clinic/Center | 16410 Highway 72, Rogersville, AL 35652 | 2009-12-04 |
| 1194909796 | Elgin Quick Med, Inc | Family Medicine | 2850 Hwy 101, Rogersville, AL 35652 | 2007-12-19 |
| 1093801136 | Rogersville Emergency Ambulance Unit | Ambulance | 36 Wheeler St, Rogersville, AL 35652 | 2006-10-05 |
| 1073620456 | Freds Stores of Tennessee Inc | Pharmacy | 16100 Hwy 72, Rogersville, AL 35652 | 2006-08-23 |
| 1417990623 | David Wayne Frye | Pharmacist | 1661 Lee Street, Rogersville, AL 35652 | 2006-06-14 |
| 1518922251 | Amanda Tucker Davis | Pharmacist | 1661 Lee St., Rogersville, AL 35652 | 2006-04-18 |
| 1699860247 | Corrina L Williams | Pharmacist | 1661 Lee St, Rogersville, AL 35652 | 2006-10-03 |
| 1053457770 | Alan Vines | Dentist | 16025 Hwy 72, Rogersville, AL 35652-0428 | 2007-01-29 |
| Find all providers in zip 35652 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588992333 | Family Health Care Clinic, Inc. | Clinic/Center | 16410 Highway 72, Rogersville, AL 35652 | 2009-12-04 |
| 1679672562 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 4966 Highway 11-w, Rogersville, TN 37857-0850 | 2006-09-21 |
| 1154321966 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 900 W Main St, Rogersville, TN 37857-2448 | 2005-07-22 |
| 1346672995 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 4307 Highway 66 S, Rogersville, TN 37857-3155 | 2013-08-06 |
| 1083644744 | Cornerstone Care, Inc. | Clinic/Center | 140 Church St, Suite 102, Rogersville, PA 15359-1001 | 2006-07-05 |
| 1013917632 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 4966 Highway 11w, Rogersville, TN 37857-6028 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837311 | Altapointe Health Systems, Inc. | Clinic/Center | 2419 Gordon Smith Dr, Mobile, AL 36617-2318 | 2020-09-30 |
| 1528670452 | The Capstone Rural Health Center | Clinic/Center | 1400 19th St W, Jasper, AL 35501-5171 | 2020-08-21 |
| 1205460268 | The Capstone Rural Health Center | Clinic/Center | 714 12th St W, Jasper, AL 35501-4519 | 2020-02-28 |
| 1184284986 | Health Services, Inc. | Clinic/Center | 1151 Air Base Blvd Ofc, Montgomery, AL 36108-3103 | 2019-06-14 |
| 1982172367 | Health Services, Inc | Clinic/Center | 3350 S Court St, Montgomery, AL 36105-1606 | 2018-11-05 |
| 1932627858 | Whatley Health Services, Inc. | Clinic/Center | 417 3rd St Se, Aliceville, AL 35442 | 2017-08-30 |
| 1780123372 | Quality of Life Health Services, Inc | Clinic/Center | 404 9th Ave Sw, Lafayette, AL 36862-2806 | 2017-02-16 |
| 1487104691 | Whatley Health Services Inc | Clinic/Center | 142 School Street, Oakman, AL 35579 | 2016-10-12 |
| 1831568237 | Quality of Life Health Services, Inc | Clinic/Center | 1502 11th Ave, Phenix City, AL 36867-4905 | 2015-09-16 |
| 1477939031 | Whatley Health Services, Inc. | Clinic/Center | 3601 Stillman Blvd, Tuscaloosa, AL 35401-2601 | 2015-08-06 |
| Find all providers with the same taxonomy | ||||
| City | ROGERSVILLE |
| Zip Code | 35652 |
Please comment or provide details below to improve the information on SOUTHERN RURAL HEALTH CARE CONSORTIUM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.