Southern Rural Health Care Consortium

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SOUTHERN RURAL HEALTH CARE CONSORTIUM

Practice address

16410 Hwy 72
Rogersville, AL 35652

Phone

(256) 332-1631

Fax

(256) 332-4600

NPI assigned

Nov 15, 2006

Organization subpart

No

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 2

Addresses

Other identifiers 1

Other names 1

• Rogersville Family Practice Other name

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1508938200",
    "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": "16410 HWY 72",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "35652",
            "telephone_number": "256-332-1631",
            "fax_number": "256-332-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN RURAL HEALTH CARE CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-09-14",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "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": "630003001",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogersville Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rogersville Eye Clinic
• Rogersville Family Care
• Rogersville Pediatrics,LLC
• Rogersville Pharmacy LLC
• Southern Rural Health Care Consortium
• Dawn M Standley, PT, DPT
• Star Optometry Al, LLC
• Mary Caitlin Stevenson-Wilcoxson, PT, DPT
• Substance Abuse Council of Nortwest Alabama, Inc.
• James David Surso, M.D.

• Federally Qualified Health Center (FQHC) in Rogersville, AL
• Providers in Rogersville, AL by specialty
• Federally Qualified Health Center (FQHC) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.