RURAL HEALTH MEDICAL PROGRAM INC. NPI 1760561419

NPI Information

  • NPI: 1760561419
  • Provider Name: RURAL HEALTH MEDICAL PROGRAM, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: YELLOW BLUFF HEALTH CENTER
  • CLIA Number: 01D0673376
  • Address: 2210 HIGHWAY 221
    CAMDEN, AL
    ZIP 36726
  • Phone: (334) 682-5772

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NPI Details

RURAL HEALTH MEDICAL PROGRAM, INC. is a federally qualified health center (fqhc) clinic center in Camden, 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:

2210 HIGHWAY 221
CAMDEN, AL
ZIP 36726-233
Phone: (334) 682-5772
Fax: (334) 682-5792

The provider's authorized official is Keshee Smith .
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 7/5/2023.

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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1011835OTHERALABAMAMEDICARE ID -TYPE UNSPECIFIED / PTAN
2630000008MEDICAIDALABAMA

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: 3/30/2025

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