# HMC RURAL HEALTH CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174525950
- **Authorized official:** DELINDA STILES (ASSISTANT OFFICE MANAGER)
- **Authorized official phone:** (205) 221-9351

## Contact information

- **Practice address:** 2201 N AIRPORT RD, JASPER, AL 35504-7058
- **Practice address phone:** (205) 221-9351
- **Practice address fax:** (205) 221-3700
- **Mailing address:** PO BOX 1571, JASPER, AL 35502-1571
- **Mailing address phone:** (205) 221-9351
- **Mailing address fax:** (205) 221-3700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/11/2005
- **Last updated:** 05/09/2019