| Rural Health Medical Program, Inc. | |
|
330 Old Hamburg Rd Uniontown AL 36786-2614 | |
| (334) 628-2651 | |
| (334) 628-2656 |
| Full Name | Rural Health Medical Program, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 330 Old Hamburg Rd, Uniontown, Alabama |
| Authorized Official Name and Position | Patricia Gibson (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. P O Box 2213 228 Selma Avenue Selma AL 36702-2213 Ph: (334) 874-7428 | Rural Health Medical Program, Inc. 330 Old Hamburg Rd Uniontown AL 36786-2614 Ph: (334) 628-2651 |
| NPI Number | 1033298757 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 12/21/2010 |
| Medicare PECOS PAC ID | 0143219196 |
|---|---|
| Medicare Enrollment ID | O20101115001175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033298757 | NPI | - | NPPES |
| 510G700545 | Other | AL | PART B PTAN |
| 630000008 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Alabama) | Primary |