Organization Active NPI

Southern Rural Health Care Consortium

  • Home Health Agency
  • Russellville, AL
National Provider Identifier
1225049828
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Oct 24, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SOU7017MedicaidAL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.