Organization
RURAL HEALTH MEDICAL PROGRAM, INC.
Active
Parent organization
RURAL HEALTH MEDICAL PROGRAM, INC.
Other names
Yellow Bluff Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
RURAL HEALTH MEDICAL PROGRAM, INC.
Authorized official
MS. KESHEE SMITH (CEO)
(334) 874-7428
Entity
Organization
Contact information
Practice address
2210 HIGHWAY 221, CAMDEN, AL 36726-4233
(334) 682-5772
(334) 682-5792
Mailing address
PO BOX 2213, SELMA, AL 36702-2213
(334) 874-7428
(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
—
011835
MEDICARE ID -TYPE UNSPECIFIED / PTAN
AL
05
—
630000008
—
AL
Enumeration date
11/03/2006
Last updated
07/05/2023
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