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Organization

RURAL HEALTH MEDICAL PROGRAM, INC.

Active
Parent organization
RURAL HEALTH MEDICAL PROGRAM, INC.
Other names
Marion Health Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
RURAL HEALTH MEDICAL PROGRAM, INC.
Authorized official
MS. PATRICIA GIBSON (CEO)
(334) 874-7428
Entity
Organization

Contact information

Practice address
1310 WASHINGTON STREET, MARION, AL 36756-3218
(334) 683-2073
(334) 683-2077
Mailing address
P O BOX 2213, 228 SELMA AVENUE, SELMA, AL 36702-2213
(334) 874-4728
(334) 874-7435

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011914
MEDICARE ID - TYPE UNSPECIFIED
AL
05
630000008
AL
Enumeration date
11/03/2006
Last updated
12/21/2010
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