Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PEDIATRIC RURAL HEALTH CLINICS, INC
Active
Organization
PEDIATRIC RURAL HEALTH CLINICS, INC
Active
Other names
GREENVILLE PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE KEEN CRNP (VP OF OPERATIONS)
(334) 382-9760
Entity
Organization
Contact information
Practice address
46 L V STABLER DR, GREENVILLE, AL 36037-3804
(334) 382-9760
(334) 383-9331
Mailing address
46 L V STABLER DR, GREENVILLE, AL 36037-3804
(334) 382-9760
(334) 383-9331
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
00006213
AL
208000000X
Pediatrics Physician
00006634
AL
208000000X
Pediatrics Physician
00024891
AL
363LP0200X
Pediatric Nurse Practitioner
01-069655
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
1-065300
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529800610
—
AL
05
—
541003905
—
AL
Enumeration date
06/01/2006
Last updated
10/11/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up