Organization
RURAL HEALTH MEDICAL PROGRAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEVEN LANGHORNE (HIM DIRECTOR)
(334) 874-7428
Entity
Organization
Contact information
Practice address
101 PARK PL, SELMA, AL 36701-6764
(334) 874-7428
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
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630000008
—
AL
Enumeration date
05/07/2007
Last updated
04/12/2023
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