| Jackson County Rural Health Project | |
|
309 Taylor St Scottsboro AL 35768-2421 | |
| (256) 256-5313 | |
| (256) 259-4923 |
| Full Name | Jackson County Rural Health Project |
|---|---|
| Speciality | Clinic/Center |
| Location | 309 Taylor St, Scottsboro, Alabama |
| Authorized Official Name and Position | Deborah F Culpepper (CEO) |
| Authorized Official Contact | 2562595313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson County Rural Health Project 309 Taylor St Scottsboro AL 35768-2421 Ph: (256) 259-5313 | Jackson County Rural Health Project 309 Taylor St Scottsboro AL 35768-2421 Ph: (256) 256-5313 |
| NPI Number | 1659448983 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 04/29/2013 |
| Medicare PECOS PAC ID | 4082522883 |
|---|---|
| Medicare Enrollment ID | O20040120000485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659448983 | NPI | - | NPPES |
| 630000003 | Medicaid | AL | |
| 630399999 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Melinda P Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679759146 PECOS PAC ID: 0547348823 Enrollment ID: I20080428000369 |
| Provider Name | Durwood M Hodges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821027137 PECOS PAC ID: 6305970591 Enrollment ID: I20100810000200 |
| Provider Name | Hilda B Craze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396788170 PECOS PAC ID: 0143288993 Enrollment ID: I20101006000901 |
| Provider Name | Charles Franklin Giddens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174676308 PECOS PAC ID: 2264502301 Enrollment ID: I20110223000893 |
| Provider Name | Amanda L Foshee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487945309 PECOS PAC ID: 5597082347 Enrollment ID: I20150421001610 |
| Provider Name | Kristina A Welden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861880577 PECOS PAC ID: 1052622610 Enrollment ID: I20150623002277 |
| Provider Name | Georgina Kay Knopps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386019636 PECOS PAC ID: 6305140351 Enrollment ID: I20160211001025 |
| Provider Name | Brandi Leona Ware |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467808881 PECOS PAC ID: 1759654841 Enrollment ID: I20170912002725 |
| Provider Name | Blair Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295365807 PECOS PAC ID: 8426486093 Enrollment ID: I20200312001925 |
| Provider Name | Christy Nicole Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336752088 PECOS PAC ID: 7911319322 Enrollment ID: I20201208003283 |
| Provider Name | Shelby Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053037341 PECOS PAC ID: 2567832371 Enrollment ID: I20230111002409 |
| Provider Name | Yulanda Carol Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215641857 PECOS PAC ID: 9739552001 Enrollment ID: I20230307002506 |
| Provider Name | Alexis Diane Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316645377 PECOS PAC ID: 1759746167 Enrollment ID: I20230508000622 |
Scottsboro Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 Harley St, Scottsboro Medical Clinic, Scottsboro, AL 35768 Phone: 256-574-6157 Fax: 256-259-0560 | |
Highlands Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 507 Harley St, Scottsboro, AL 35768 Phone: 256-218-3856 Fax: 256-218-3536 | |
Hh Health System - Jackson Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 S Broad St Ste A, Scottsboro, AL 35768 Phone: 256-218-3230 Fax: 256-218-3249 | |
Valley Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 331 Parks Ave, Scottsboro, AL 35768 Phone: 256-451-1250 Fax: 256-451-1270 | |
Premier Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 503 Burlington Street, Scottsboro, AL 35768 Phone: 256-259-1886 | |
Northeast Alabama Health Services Inc- Skyline Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21680 Al Highway 79, Scottsboro, AL 35768 Phone: 256-587-3050 Fax: 256-587-5243 | |
Larry T. Bolton, M.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Parks Ave, Scottsboro, AL 35768 Phone: 256-574-3623 Fax: 256-574-6223 |