SOUTHERN RURAL HEALTH CARE CONSORTIUM, INC. – NPI #1609948306
Clinic/Center

SOUTHERN RURAL HEALTH CARE CONSORTIUM, INC. is an AHC clinic located in DECATUR, AL. NPPES has assigned the NPI number 1609948306 to SOUTHERN RURAL HEALTH CARE CONSORTIUM, INC. on November 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. SOUTHERN RURAL HEALTH CARE CONSORTIUM, INC. is also known by the name DECATUR PRIMARY CARE. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 16 years ago on Oct 07, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN RURAL HEALTH CARE CONSORTIUM, INC. below.

NPI Profile for
SOUTHERN RURAL HEALTH CARE CONSORTIUM, INC.

NPI Number
1609948306
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHERN RURAL HEALTH CARE CONSORTIUM, INC.
Other Name: DECATUR PRIMARY CARE
Primary location
1304 13TH AVENUE S.E.
SUITE F
DECATUR, AL 35601
Phone: (256) 332-1631 Fax: (256) 332-4600
Mailing address
PO BOX 970
RUSSELLVILLE, AL 35653-0970
Phone: (256) 332-1631 Fax: (256) 332-4600
Organization Subpart
No
Authorized Official
KATHY HALL
EXECUTIVE DIRECTOR
Phone: (256) 332-1631
Updated
Identifiers

Identifiers for SOUTHERN RURAL HEALTH CARE CONSORTIUM, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELD AL01200280
OTHERMEDICARE #AL01-1902
MEDICAIDAL630005001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
AL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.