| Southern Rural Health Care Consortium Inc. | |
| 
					1304 13th Avenue S.e. Suite A Decatur AL 35601-0000  | |
| (256) 353-0178 | |
| (256) 353-6723 | 
| Full Name | Southern Rural Health Care Consortium Inc. | 
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) | 
| Location | 1304 13th Avenue S.e., Decatur, Alabama | 
| Authorized Official Name and Position | Kathy L Hall (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 2563321631 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Southern Rural Health Care Consortium Inc. 508 Saint Clair St Se Russellville AL 35653-2720 Ph: (256) 332-1631  | Southern Rural Health Care Consortium Inc. 1304 13th Avenue S.e. Suite A Decatur AL 35601-0000 Ph: (256) 353-0178  | 
| NPI Number | 1073689261 | 
|---|---|
| Provider Enumeration Date | 11/28/2006 | 
| Last Update Date | 03/16/2011 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073689261 | NPI | - | NPPES | 
| 630002001 | Medicaid | AL | |
| 01-1898 | Other | AL | MEDICARE # | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Alabama) | Primary | 
Michael A. Henngian, M.d., P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 14th Ave Se, Decatur, AL 35601 Phone: 256-351-1990  | |
Whitfield Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2828 Highway 31 S Ste 111, Decatur, AL 35603 Phone: 256-686-3456  | |
Decatur Gastroenterology Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 15th Ave Se, Decatur, AL 35601 Phone: 256-350-0153 Fax: 256-350-0156  | |
Decatur General Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1215 7th St Se, Suite 120, Decatur, AL 35601 Phone: 256-341-0715 Fax: 256-341-0229  | |
Decatur Internal Medicine Center, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2506 Danville Rd Sw, Suite 101, Decatur, AL 35603 Phone: 256-350-6363 Fax: 256-350-6855  | |
Allen J. Schmidt Jr. M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 7th St Se, Decatur, AL 35601 Phone: 256-350-6182 Fax: 256-350-6184  | |
Family Medicine Associates, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1813 Beltline Rd Sw, Decatur, AL 35601 Phone: 256-353-6874  |