SOUTHERN RURAL HEALTH CARE CONSORTIUM, INC. (NPI# 1427124627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427124627 |
| Entity Type | Organization |
| Organization Name | SOUTHERN RURAL HEALTH CARE CONSORTIUM, INC. |
| Other Organization Name | FAMILY CLINIC |
| Practice Address |
925 4th St Nw Red Bay AL 35582-3953 |
| Mailing Address |
Po Box 970 Russellville AL 35653-0970 |
| Practice Telephone | 2563321631 |
| Practice Fax Number | 2563324600 |
| Mailing Telephone | 2563321631 |
| Mailing Fax Number | 2563324600 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2010-10-07 |
| 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 |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 630006001 | 05 | |
| AL | BLUE CROSS | 01200308 | 01 |
| Other Name | Type Code |
|---|---|
| Family Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225104417 | Southern Rural Health Care Consortium, Inc. | Clinic/Center | 1841 Al Hwy 20, Town Creek, AL 35672 | 2006-11-28 |
| 1750457941 | Southern Rural Health Care Consortium, Inc. | Clinic/Center | 318 Coffee Avenue, Russellville, AL 35653 | 2006-11-28 |
| 1558437749 | Southern Rural Health Care Consortium, Inc. | Clinic/Center | 104 Physicians Drive, Suite C, Muscle Shoals, AL 35661-2100 | 2006-11-28 |
| 1609948306 | Southern Rural Health Care Consortium, Inc. | Clinic/Center | 1304 13th Avenue S.e., Suite F, Decatur, AL 35601 | 2006-11-15 |
| Street Address |
925 4TH ST NW |
| City | RED BAY |
| State | AL |
| Zip Code | 35582-3953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740709401 | Donna Weatherford | Pharmacist | 925 4th St Nw, Red Bay, AL 35582-3953 | 2017-09-14 |
| 1063935468 | Red Bay Pharmacy, LLC. | Pharmacy | 925 4th St Nw, Red Bay, AL 35582-3953 | 2017-07-18 |
| 1902329303 | William E. Weatherford | Pharmacy | 925 4th St Nw, Red Bay, AL 35582-3953 | 2017-07-18 |
| 1003049081 | Family Health Care Clinic, Inc. | Clinic/Center | 925 4th St Nw, Red Bay, AL 35582-3953 | 2009-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922318070 | Stacy Credille | Pharmacist | 525 4th Ave, Red Bay, AL 35582 | 2010-10-07 |
| 1689983009 | Christine L Cleveland | Pharmacist | 525 4th Avenue Se, Red Bay, AL 35582 | 2010-10-04 |
| 1417131665 | Cori K Vandevender | Pharmacist | 523 4th Ave Se, Red Bay, AL 35582 | 2007-12-24 |
| 1760522148 | Ralph Marion Nix | Dentist | 513 W 3rd St, Red Bay, AL 35582 | 2007-02-07 |
| 1104998988 | Stephen Douglas Ray | Dentist | 1115 4th St. Nw, Red Bay, AL 35582 | 2006-11-15 |
| 1013961234 | James W. Nabers Jr | Family Medicine | 219 Hospital Rd, Red Bay, AL 35582 | 2006-05-20 |
| 1851387575 | Raynard G. Fabianke | Family Medicine | 925 4th Street, Red Bay, AL 35582 | 2005-09-27 |
| 1124126552 | Dr. James Nabers Do PC | Clinic/Center | 219 Hospital Rd, Red Bay, AL 35582 | 2006-09-20 |
| 1457378911 | Freds Stores of Tennessee Inc | Pharmacy | 525 4th Avenue Se, Red Bay, AL 35582 | 2006-07-17 |
| 1427194273 | Gum Creek Enterprises Inc | Durable Medical Equipment & Medical Supplies | 929 4th St Nw, Red Bay, AL 35582-1250 | 2007-01-29 |
| Find all providers in zip 35582 | ||||
| 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 |
|---|---|---|---|---|
| 1003049081 | Family Health Care Clinic, Inc. | Clinic/Center | 925 4th St Nw, Red Bay, AL 35582-3953 | 2009-08-25 |
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|---|---|---|---|---|
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| 1528670452 | The Capstone Rural Health Center | Clinic/Center | 1400 19th St W, Jasper, AL 35501-5171 | 2020-08-21 |
| 1205460268 | The Capstone Rural Health Center | Clinic/Center | 714 12th St W, Jasper, AL 35501-4519 | 2020-02-28 |
| 1184284986 | Health Services, Inc. | Clinic/Center | 1151 Air Base Blvd Ofc, Montgomery, AL 36108-3103 | 2019-06-14 |
| 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.