SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES NPI 1548846926

NPI Information

NPI: 1548846926
Provider Name: SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
100 W LAKE PROFESSIONAL PARK STE 3
GENEVA, AL
ZIP 36340
Phone: (334) 684-8905
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SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES is a federally qualified health center (fqhc) clinic center in Geneva, AL. SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES NPI is 1548846926. The provider is registered as an organization entity type.

The provider's business location address is:

100 W LAKE PROFESSIONAL PARK STE 3
GENEVA, AL
ZIP 36340-200
Phone: (334) 684-8905
Fax: (334) 684-8908

The provider's authorized official is Pamylon Gatlin 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 3/24/2021 and was last updated on 3/24/2021.

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

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: 11/14/2023

NPI Synchronization or Removal

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