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SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES NPI 1710048053


NPI Information

NPI: 1710048053
Provider Name: SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES

Doing Business As: CLAYTON FAMILY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 01D0674450

Address:
7 WESTERN BYP
CLAYTON, AL
ZIP 36016
Phone: (334) 775-3235
Get Directions

SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES is a federally qualified health center (fqhc) clinic center in Clayton, AL. SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES NPI is 1710048053. The provider is registered as an organization entity type.
The provider Is Doing Business As Clayton Family Health Center.

The provider's business location address is:

7 WESTERN BYP
CLAYTON, AL
ZIP 36016-013
Phone: (334) 775-3235
Fax: (334) 775-8067

The provider's authorized official is John A Little .
The authorized official title is Ceo and has the following contact phone number (334) 670-6726.

The CLIA number assigned to this NPI record is 01D0674450 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 2/3/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1630002018MEDICAIDALABAMA
2011868MEDICARE OSCAR/CERTIFICATIONALABAMA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.