Organization
RURAL HEALTH MEDICAL PROGRAM, INC
Active
Other names
Demopolis Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATOYA FREEMAN (HR DIRECTOR)
(334) 874-7428
Entity
Organization
Contact information
Practice address
1502 HIGHWAY 80 EAST, UNIT A, DEMOPOLIS, AL 36732
(334) 289-1193
Mailing address
PO BOX 2213, SELMA, AL 36702-2213
(334) 874-7428
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630000008
—
AL
Enumeration date
11/03/2006
Last updated
10/24/2018
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