Organization Active NPI

HMC Rural Health Clinic LLC

  • Family Medicine Physician
  • Jasper, AL
National Provider Identifier
1174525950
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HMC RURAL HEALTH CLINIC LLC
Practice address
2201 N Airport Rd
Jasper, AL 35504-7058
Phone
(205) 221-9351
Fax
(205) 221-3700
NPI assigned
Aug 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Authorized official

Name
Delinda Stiles
Title
Assistant Office Manager
Phone
(205) 221-9351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2201 N Airport Rd
Jasper, AL 35504-7058

Mailing address

PO Box 1571
Jasper, AL 35502-1571
Phone (205) 221-9351

Other identifiers 1

IdentifierTypeStateIssuer
541003878MedicaidAL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1174525950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1571",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355021571",
            "telephone_number": "205-221-9351",
            "fax_number": "205-221-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N AIRPORT RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355047058",
            "telephone_number": "205-221-9351",
            "fax_number": "205-221-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMC RURAL HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "STILES",
        "authorized_official_first_name": "DELINDA",
        "authorized_official_title_or_position": "ASSISTANT OFFICE MANAGER",
        "authorized_official_telephone_number": "205-221-9351"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541003878",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.