Organization · Type 2 NPI

Southern Rural Health Care Consortium

Federally Qualified Health Center (FQHC) · Russellville, AL

NPI number 1861577900 Active

Practice location

508 St Claire SE
Russellville, AL 35653

Fax (256) 332-4600

Mailing address

PO Box 970
Russellville, AL 35653-0970

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1861577900

Southern Rural Health Care Consortium's National Provider Identifier is 1861577900, issued on Oct 26, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Russellville, AL. The record was last updated on Sep 2, 2010.