| Rural Health Medical Program, Inc | |
|
1502 Highway 80 East Unit A Demopolis AL 36732 | |
| (334) 289-1193 | |
| Not Available |
| Full Name | Rural Health Medical Program, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1502 Highway 80 East, Demopolis, Alabama |
| Authorized Official Name and Position | Latoya Freeman (HR DIRECTOR) |
| Authorized Official Contact | 3348747428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health Medical Program, Inc Po Box 2213 Selma AL 36702-2213 Ph: (334) 874-7428 | Rural Health Medical Program, Inc 1502 Highway 80 East Unit A Demopolis AL 36732 Ph: (334) 289-1193 |
| NPI Number | 1114006848 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 10/24/2018 |
| Medicare PECOS PAC ID | 0143219196 |
|---|---|
| Medicare Enrollment ID | O20181017003766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114006848 | NPI | - | NPPES |
| 630000008 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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