institution
Southern Rural Health Care Consortium, Inc.
Federally Qualified Health Center (FQHC) in Decatur, Alabama
NPI 1609948306

Southern Rural Health Care Consortium, Inc. is a Federally Qualified Health Center (FQHC) based in Russellville, AL and is specialized in Federally Qualified Health Center (FQHC). Southern Rural Health Care Consortium, Inc. practices in Decatur, AL. The NPI Number for Southern Rural Health Care Consortium, Inc. is 1609948306 and holds a License No. (Alabama).

The current practice location address for Southern Rural Health Care Consortium, Inc. is 1304 13Th Avenue S.e., Decatur, AL and can be reached out via phone at 256-332-1631 and via fax at 256-332-4600.

Location: 1304 13Th Avenue S.e., Decatur, AL, 35653-0970
institution
Provider Profile Details
NPI Number
1609948306
Provider Name
Southern Rural Health Care Consortium, Inc.
Credential
Provider Entity Type
Organization
Address
1304 13Th Avenue S.e., Decatur, AL, 35653-0970
Phone Number
256-332-1631
Fax Number
256-332-4600
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01200280 01 BLUE CROSS BLUE SHIELD AL
630005001 05 AL
01-1902 01 AL MEDICARE #
institution
Provider Business Practice Location Address Details
Address
1304 13Th Avenue S.e.
City
State
Zip
35601
Phone Number
256-332-1631
Fax Number
256-332-4600
person
Provider Business Mailing Address Details
Address
1304 13Th Avenue S.e.
City
State
Zip
35601
Phone Number
256-332-1631
Fax Number
256-332-4600
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
(Alabama)
Definition
Definition to come...
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