Organization · Type 2 NPI

Rural Health Medical Program, Inc

Federally Qualified Health Center (FQHC) · Demopolis, AL

NPI number 1114006848 Active

Practice location

1502 Highway 80 East, Unit A
Demopolis, AL 36732

Call (334) 289-1193 Map

Mailing address

PO Box 2213
Selma, AL 36702-2213

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1114006848
Entity type: Organization (Type 2)
Issued: Nov 3, 2006
Last updated: Oct 24, 2018
Status: Active

Other names

<unavail>
Demopolis Health Center · doing business as
Demopolis Health Center · doing business as

Authorized official

Ms. Latoya Freeman
HR Director
(334) 874-7428

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114006848

Rural Health Medical Program, Inc's National Provider Identifier is 1114006848, issued on Nov 3, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Demopolis, AL. The record was last updated on Oct 24, 2018.