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RURAL HEALTH MEDICAL PROGRAM INC. NPI 1760561419


NPI Information

NPI: 1760561419
Provider Name: RURAL HEALTH MEDICAL PROGRAM, INC.

Doing Business As: YELLOW BLUFF HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 01D0673376

Address:
7079 HIGHWAY 10 WEST
PINE HILL, AL
ZIP 36769
Phone: (334) 963-4201
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RURAL HEALTH MEDICAL PROGRAM, INC. is a federally qualified health center (fqhc) clinic center in Pine Hill, AL. RURAL HEALTH MEDICAL PROGRAM, INC. NPI is 1760561419. The provider is registered as an organization entity type.
The provider Is Doing Business As Yellow Bluff Health Center.

The provider's business location address is:

7079 HIGHWAY 10 WEST
PINE HILL, AL
ZIP 36769-326
Phone: (334) 963-4201
Fax: (334) 963-4360

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 01D0673376 - 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 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)ALABAMAYes

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
1630000008MEDICAIDALABAMA
2011835OTHERALABAMAMEDICARE ID -TYPE UNSPECIFIED / PTAN

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.