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).
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 |
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 | MEDICARE # | 01-1907 | 01 |
AL | 630007001 | 05 |
Other Name | Type Code |
---|---|
Russellville Family Practice | Other Name - Individual/Organization |
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 |
Street Address |
318 COFFEE AVENUE |
City | RUSSELLVILLE |
State | AL |
Zip Code | 35653 |
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 |
Find all providers in zip 35653 |
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 |
---|---|---|---|---|
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 |
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---|---|---|---|---|
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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 | RUSSELLVILLE |
Zip Code | 35653 |
Please comment or provide details below to improve the information on SOUTHERN RURAL HEALTH CARE CONSORTIUM, INC..
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.