NPIMap

Organization Active NPI

Southern Rural Health Care Consortium Inc.

  • Federally Qualified Health Center (FQHC)
  • Decatur, AL
National Provider Identifier
1073689261
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SOUTHERN RURAL HEALTH CARE CONSORTIUM INC.
Practice address
1304 13TH Avenue S.E.
Suite a
Decatur, AL 35601-0000
Phone
(256) 353-0178
Fax
(256) 353-6723
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kathy L Hall
Title
Executive Director
Phone
(256) 332-1631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X AL Primary

Addresses

Primary practice location

1304 13TH Avenue S.E.
Suite a
Decatur, AL 35601-0000

Mailing address

508 Saint Clair St SE
Russellville, AL 35653-2720
Phone (256) 332-1631

Other identifiers 2

IdentifierTypeStateIssuer
630002001MedicaidAL
01-1898OtherALMEDICARE #

Other names 1

  • Children's Health of Decatur Other name

National Provider Directory

National Provider Directory
Tax ID family
Southern Rural Health Care Consortium12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

508 Saint Clair St SE
Russellville, AL 35653
Phone (256) 332-1631

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1073689261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 SAINT CLAIR ST SE",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356532720",
            "telephone_number": "256-332-1631",
            "fax_number": "256-332-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 13TH AVENUE S.E.",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356010000",
            "telephone_number": "256-353-0178",
            "fax_number": "256-353-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN RURAL HEALTH CARE CONSORTIUM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-332-1631",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630002001",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "01-1898",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Health of Decatur",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.