SOUTHERN RURAL HEALTH CARE CONSORTIUM, INC.


Address: 318 Coffee Avenue, Russellville, AL 35653
Phone: 2563321631

SOUTHERN RURAL HEALTH CARE CONSORTIUM, INC. (NPI# 1750457941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750457941
Entity Type Organization
Organization Name SOUTHERN RURAL HEALTH CARE CONSORTIUM, INC.
Other Organization Name RUSSELLVILLE FAMILY PRACTICE
Practice Address 318 Coffee Avenue
Russellville
AL 35653
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 2006-11-28
Last Update Date 2010-10-07
Authorized Official Name MRS. KATHY L HALL (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2563321361
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
AL MEDICARE # 01-1907 01
AL 630007001 05

Other Provider/Organization Names

Other Name Type Code
Russellville Family Practice Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1427124627 Southern Rural Health Care Consortium, Inc. Clinic/Center 925 4th St Nw, Red Bay, AL 35582-3953 2006-11-28
1225104417 Southern Rural Health Care Consortium, Inc. Clinic/Center 1841 Al Hwy 20, Town Creek, AL 35672 2006-11-28
1558437749 Southern Rural Health Care Consortium, Inc. Clinic/Center 104 Physicians Drive, Suite C, Muscle Shoals, AL 35661-2100 2006-11-28
1609948306 Southern Rural Health Care Consortium, Inc. Clinic/Center 1304 13th Avenue S.e., Suite F, Decatur, AL 35601 2006-11-15

Office Location

Street Address 318 COFFEE AVENUE
City RUSSELLVILLE
State AL
Zip Code 35653

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902384720 Randy Wade Gooch Pharmacist 13675 Us-43, Russellville, AL 35653 2018-08-02
1700301470 Carole Ann Montgomery Pharmacist Walmart Pharmacy, 13675 Us-43, Russellville, AL 35653 2017-08-03
1548632755 Amanda Carrie Franks Health Educator 265 Skyline Dr, Russellville, AL 35653 2015-10-27
1023411220 Wesley Charles Mayfield Pharmacist 14001 Hwy 43 Suite 13, Russellville, AL 35653 2014-10-01
1831322841 Family Health Care Clinic, Inc. Clinic/Center 318 Coffee Ave Ne, Russellville, AL 35653 2009-08-25
1538371075 Eyedocs On Wheels PC Optometrist 15255 Hwy 43, Russellville, AL 35653 2007-05-04
1063634574 Russellville Physician Practices LLC Orthopaedic Surgery 715 Gandy Street Ne, Suite B, Russellville, AL 35653 2007-05-03
1750404141 Alabama Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 14695 Hwy 43, Russellville, AL 35653 2007-04-09
1629111703 Franklin County Health Dept Offsite Epsdt Public Health or Welfare 801 Highway 48, Russellville, AL 35653 2007-02-15
1861577900 Southern Rural Health Care Consortium Clinic/Center 508 St Claire Se, Russellville, AL 35653 2006-10-26
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831322841 Family Health Care Clinic, Inc. Clinic/Center 318 Coffee Ave Ne, Russellville, AL 35653 2009-08-25
1861577900 Southern Rural Health Care Consortium Clinic/Center 508 St Claire Se, Russellville, AL 35653 2006-10-26

Providers in the same taxonomy and state

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
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Competitor

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City RUSSELLVILLE
Zip Code 35653

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Dataset Information

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.

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