Organization
RURAL HEALTH MEDICAL PROGRAM, INC
Active
Other names
RHMPI Selma Mobile Unit Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KESHEE DANEE SMITH (CEO)
(334) 874-7428
Entity
Organization
Contact information
Practice address
101 PARK PL, SELMA, AL 36701-6764
(334) 874-7428
Mailing address
101 PARK PL, SELMA, AL 36701-6764
(334) 874-7428
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
122300000X
Dentist
—
—
152W00000X
Optometrist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630000008
—
AL
Enumeration date
12/20/2019
Last updated
12/20/2019
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