| Rural Health Medical Program, Inc | |
|
411 Wilson Ave W Thomasville AL 36784-2015 | |
| (334) 874-7428 | |
| Not Available |
| Full Name | Rural Health Medical Program, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 411 Wilson Ave W, Thomasville, Alabama |
| Authorized Official Name and Position | Keshee Danee Smith (CEO) |
| 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 411 Wilson Ave W Thomasville AL 36784-2015 Ph: (334) 874-7428 |
| NPI Number | 1134703283 |
|---|---|
| Provider Enumeration Date | 05/05/2021 |
| Last Update Date | 05/05/2021 |
| Medicare PECOS PAC ID | 0143219196 |
|---|---|
| Medicare Enrollment ID | O20220309001754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134703283 | NPI | - | NPPES |
| 1992918197 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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