RURAL HEALTH MEDICAL PROGRAM INC NPI 1114006848

NPI Information

NPI: 1114006848
Provider Name: RURAL HEALTH MEDICAL PROGRAM, INC

Doing Business As: DEMOPOLIS HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1502 HIGHWAY 80 EAST
UNIT A
DEMOPOLIS, AL
ZIP 36732
Phone: (334) 289-1193
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RURAL HEALTH MEDICAL PROGRAM, INC is a federally qualified health center (fqhc) clinic center in Demopolis, AL. RURAL HEALTH MEDICAL PROGRAM, INC NPI is 1114006848. The provider is registered as an organization entity type.
The provider Is Doing Business As Demopolis Health Center.

The provider's business location address is:

1502 HIGHWAY 80 EAST
UNIT A
DEMOPOLIS, AL
ZIP 36732
Phone: (334) 289-1193

The provider's authorized official is Latoya Freeman .
The authorized official title is Hr Director and has the following contact phone number (334) 874-7428.

The CLIA number assigned to this NPI record is 01D2152452 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/3/2006 and was last updated on 10/24/2018.

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	630000008	MEDICAID	ALABAMA
2	=========	OTHER	ALABAMA	TIN

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: 5/5/2024

NPI Synchronization or Removal

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