RURAL HEALTH MEDICAL PROGRAM INC NPI 1295804391

NPI Information

RURAL HEALTH MEDICAL PROGRAM, INC is a federally qualified health center (fqhc) clinic center in Pine Apple, AL. RURAL HEALTH MEDICAL PROGRAM, INC NPI is 1295804391. The provider is registered as an organization entity type.
The provider Is Doing Business As Pine Apple Health Center.

The provider's business location address is:

867 COUNTY ROAD 59
PINE APPLE, AL
ZIP 36768-525
Phone: (251) 746-2197
Fax: (251) 746-2467

The provider's authorized official is Patricia Gibson .
The authorized official title is Ceo and has the following contact phone number (334) 874-7428.

The CLIA number assigned to this NPI record is 01D0641793 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/6/2006 and was last updated on 12/21/2010.

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:

Other Identifiers

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