Active NPI
Southern Rural Health Care Consortium
- Home Health Agency
- Russellville, AL
National Provider Identifier
1225049828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SOUTHERN RURAL HEALTH CARE CONSORTIUM
- Practice address
- 508 Saint Clair St SE
Russellville, AL 35653-2720 - Phone
- (256) 332-1631
- Fax
- (256) 332-4600
- NPI assigned
- Aug 10, 2006
- 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
- Mr. Kathy Hall
- Title
- Executive Director
- Phone
- (256) 332-1631
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
508 Saint Clair St SE
Russellville, AL 35653-2720
Mailing address
PO Box 970
Russellville, AL 35653-0970
Phone (256) 332-1631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SOU7017 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
1304 13th Ave SE
#F
Decatur, AL 35601
Phone (256) 353-0178
1852 Beltline Rd SW
Ste A
Decatur, AL 35601
Phone (256) 301-0560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319414400000",
"number": "1225049828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 970",
"city": "RUSSELLVILLE",
"state": "AL",
"postal_code": "356530970",
"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": "508 SAINT CLAIR ST SE",
"city": "RUSSELLVILLE",
"state": "AL",
"postal_code": "356532720",
"telephone_number": "256-332-1631",
"fax_number": "256-332-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN RURAL HEALTH CARE CONSORTIUM",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2011-10-24",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "256-332-1631",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SOU7017",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.