SOUTHERN RURAL HEALTH CARE CONSORTIUM INC. (NPI# 1073689261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073689261 |
| Entity Type | Organization |
| Organization Name | SOUTHERN RURAL HEALTH CARE CONSORTIUM INC. |
| Other Organization Name | CHILDREN'S HEALTH OF DECATUR |
| Practice Address |
1304 13th Avenue S.e. Suite A Decatur AL 35601-0000 |
| Mailing Address |
508 Saint Clair St Se Russellville AL 35653-2720 |
| Practice Telephone | 2563530178 |
| Practice Fax Number | 2563536723 |
| Mailing Telephone | 2563321631 |
| Mailing Fax Number | 2563324600 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2011-03-16 |
| Authorized Official Name | MRS. KATHY L HALL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2563321631 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE # | 01-1898 | 01 |
| AL | 630002001 | 05 |
| Other Name | Type Code |
|---|---|
| Children's Health of Decatur | Other Name - Individual/Organization |
| Street Address |
1304 13TH AVENUE S.E. SUITE A |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609948306 | Southern Rural Health Care Consortium, Inc. | Clinic/Center | 1304 13th Avenue S.e., Suite F, Decatur, AL 35601 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548763238 | Community Health Improvement Center | Clinic/Center | 1027 N Water, Decatur, IL 62523 | 2018-03-09 |
| 1831635770 | Community Health Improvement Center | Clinic/Center | 1027 N Water St, Decatur, IL 62523-1022 | 2017-01-17 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1083884852 | Community Health Improvement Center | Clinic/Center | 243 West Cerro Gordo Street, Decatur, IL 62526 | 2008-03-07 |
| 1790821023 | Oakhurst Medical Centers, Inc. | Clinic/Center | 1760 Candler Rd, Decatur, GA 30032-3254 | 2007-01-30 |
| 1609948306 | Southern Rural Health Care Consortium, Inc. | Clinic/Center | 1304 13th Avenue S.e., Suite F, Decatur, AL 35601 | 2006-11-15 |
| 1407376338 | Board of Trustees of Southern Illinois University | Clinic/Center | 102 W Kenwood Ave, Decatur, IL 62526-4368 | 2017-06-21 |
| 1053769273 | Recovery Consultants of Atlanta, Inc. | Clinic/Center | 4229 Snapfinger Woods Dr, Decatur, GA 30035-3440 | 2016-05-27 |
| 1114393543 | Saint Joseph's Mercy Care Services Inc. | Clinic/Center | 3110 Clifton Springs Rd, Suite B, Decatur, GA 30034-4600 | 2015-08-20 |
| 1861893216 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 445 Winn Way, Decatur, GA 30030-1707 | 2014-09-04 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.