RURAL HEALTH MEDICAL PROGRAM, INC (NPI# 1114006848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114006848 |
| Entity Type | Organization |
| Organization Name | RURAL HEALTH MEDICAL PROGRAM, INC |
| Other Organization Name | DEMOPOLIS HEALTH CENTER |
| Practice Address |
1502 Highway 80 East Unit A Demopolis AL 36732 |
| Mailing Address |
Po Box 2213 Selma AL 36702-2213 |
| Practice Telephone | 3342891193 |
| Mailing Telephone | 3348747428 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2018-10-24 |
| Authorized Official Name | MS. LATOYA FREEMAN (HR DIRECTOR) |
| Authorized Official Telephone | 3348747428 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 630000008 | 05 |
| Other Name | Type Code |
|---|---|
| Demopolis Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994121 | Rural Health Medical Program, Inc | Family Medicine | 3040 S Alabama Ave, Monroeville, AL 36460-5600 | 2019-10-24 |
| 1104995208 | Rural Health Medical Program, Inc | Clinic/Center | 558 County Road 56, Vredenburgh, AL 36481-0494 | 2006-11-06 |
| 1871131854 | Rural Health Medical Program, Inc | Counselor | 101 Park Pl, Selma, AL 36701-6764 | 2019-12-20 |
| 1215471032 | Rural Health Medical Program, Inc | Clinic/Center | 111 Main Street, Thomaston, AL 36783-0276 | 2016-12-13 |
| 1992040950 | Rural Health Medical Program, Inc | Clinic/Center | 228 Selma Ave, Selma, AL 36701-5825 | 2012-12-03 |
| 1295804391 | Rural Health Medical Program, Inc | Clinic/Center | 867 County Road 59, Pine Apple, AL 36768-3525 | 2006-11-06 |
| Street Address |
1502 HIGHWAY 80 EAST UNIT A |
| City | DEMOPOLIS |
| State | AL |
| Zip Code | 36732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790336196 | Preferred Eye Care LLC | Optometrist | 931 Highway 80 West, Suite A, Demopolis, AL 36732 | 2019-09-26 |
| 1215454517 | Braxton Senior Care | Day Training/Habilitation Specialist | 307 South Cherry Avenue, Demopolis, AL 36732 | 2017-08-28 |
| 1699206060 | Jamie Lynn Tucker | Pharmacist | 1107 Lillian Lane, Demopolis, AL 36732 | 2017-03-27 |
| 1578717021 | Sheila Bouler Pfaffman | Counselor | 409 North Walnut Avenue, Demopolis, AL 36732 | 2008-11-11 |
| 1609072537 | Southeast Cancer Network, Inc | Internal Medicine | 105 Highway 80 E., Demopolis, AL 36732 | 2007-06-26 |
| 1720102387 | Drs. Ketcham and Dismukes | Durable Medical Equipment & Medical Supplies | 202 Hwy 80 E, Demopolis, AL 36732 | 2007-03-19 |
| 1942356472 | Dana Eddins | Speech-Language Pathologist | 1400 Herbert St, Demopolis, AL 36732 | 2007-01-26 |
| 1083785182 | Mary Juanita Shakes | Social Worker | 205 Herbert Street, Demopolis, AL 36732 | 2006-11-11 |
| 1518051788 | Judy Cooke Travis | Emergency Medicine | 123 East Capitol Street, Demopolis, AL 36732 | 2006-10-03 |
| 1770686412 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 312 Hwy 80 East, Demopolis, AL 36732 | 2006-09-07 |
| Find all providers in zip 36732 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1982172367 | Health Services, Inc | Clinic/Center | 3350 S Court St, Montgomery, AL 36105-1606 | 2018-11-05 |
| 1932627858 | Whatley Health Services, Inc. | Clinic/Center | 417 3rd St Se, Aliceville, AL 35442 | 2017-08-30 |
| 1780123372 | Quality of Life Health Services, Inc | Clinic/Center | 404 9th Ave Sw, Lafayette, AL 36862-2806 | 2017-02-16 |
| 1487104691 | Whatley Health Services Inc | Clinic/Center | 142 School Street, Oakman, AL 35579 | 2016-10-12 |
| 1831568237 | Quality of Life Health Services, Inc | Clinic/Center | 1502 11th Ave, Phenix City, AL 36867-4905 | 2015-09-16 |
| 1477939031 | Whatley Health Services, Inc. | Clinic/Center | 3601 Stillman Blvd, Tuscaloosa, AL 35401-2601 | 2015-08-06 |
| Find all providers with the same taxonomy | ||||
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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.