Active NPI
HMC Rural Health Clinic LLC
- Family Medicine Physician
- Jasper, AL
National Provider Identifier
1174525950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 541003878 | Medicaid | AL |
National Provider Directory
National Provider DirectoryMember 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.