SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES NPI 1043220585

NPI Information

NPI: 1043220585
Provider Name: SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1414 ELBA HWY
TROY, AL
ZIP 36079
Phone: (334) 670-6726
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SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES is a federally qualified health center (fqhc) clinic center in Troy, AL. SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES NPI is 1043220585. The provider is registered as an organization entity type.

The provider's business location address is:

1414 ELBA HWY
TROY, AL
ZIP 36079-020
Phone: (334) 670-6726
Fax: (334) 670-6731

The provider's authorized official is Pamylon G Bowers .
The authorized official title is Ceo and has the following contact phone number (334) 670-6726.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 12/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	630000018	MEDICAID	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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