NPIMap

Organization Active NPI

Rural Health Medical Program, Inc

Doing business as RHMPI - Selma Health Center and Administrative Office

  • Federally Qualified Health Center (FQHC)
  • Selma, AL
National Provider Identifier
1992040950
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
RURAL HEALTH MEDICAL PROGRAM, INC
Doing business as
RHMPI - Selma Health Center and Administrative Office
Practice address
101 Park PL
Selma, AL 36701-6764
Phone
(334) 874-7428
Fax
(334) 874-7435
NPI assigned
Dec 3, 2012
Last updated
Apr 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Deven Langhorne
Title
Him Director
Phone
(334) 874-7428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

101 Park PL
Selma, AL 36701-6764

Mailing address

PO Box 2213
Selma, AL 36702-2213
Phone (334) 874-7428

Other names 1

  • RHMPI - Selma Health Center and Administrative Office Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040506001178 AL Part B Supplier - Clinic/Group Practice 0143219196 Receives reassigned benefits from 42 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Demopolis, AL; Marion, AL; Monroeville, AL; Pine Apple, AL; Selma, AL; Thomaston, AL; Uniontown, AL; Vredenburgh, AL…
O20130611000655 AL Part A Provider - Federally Qualified Health Center (FQHC) 0143219196 Practice locations: Selma, AL
O20200407001242 AL MDPP Supplier - in-Person MDPP Supplier 0143219196 8 other NPIs on this enrollment
Practice locations: Camden, AL; Demopolis, AL; Marion, AL; Monroeville, AL; Pine Apple, AL; Selma, AL; Thomaston, AL; Uniontown, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992040950. Details of each certification follow.

Federally qualified health center certification: CCN 011005

Legal name
RURAL HEALTH MEDICAL PROGRAM, INC.
Doing business as
RHMP DALLAS COUNTY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 11, 2013
Last certification
Jun 11, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 30, 1978 in AL
Enrollment address
228 Selma Ave
Selma, AL 36701-5825

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2210 Highway 221
Camden, AL 36726
Phone (334) 682-5772

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thomas Moore Individual Corporate Director Apr 9, 2013
Sherman Norfleet Individual Corporate Director Apr 9, 2013
Keshee Danee Smith Individual W-2 Managing Employee Mar 7, 2016
Cynthia Ross Individual Corporate Director Apr 9, 2013
John Gragg Individual Corporate Director Apr 9, 2013
Kennard Randolph Individual Corporate Officer Oct 10, 2014

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Uniontown Health ServicesUniontown, AL, CCN 011837 Federally qualified health center Operational/Managerial Control Jul 18, 2011
Pine Apple Health CenterPine Apple, AL, CCN 011836 Federally qualified health center Operational/Managerial Control Sep 17, 2010

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1992040950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2213",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367022213",
            "telephone_number": "334-874-7428",
            "fax_number": "334-874-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PARK PL",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016764",
            "telephone_number": "334-874-7428",
            "fax_number": "334-874-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL HEALTH MEDICAL PROGRAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "LANGHORNE",
        "authorized_official_first_name": "DEVEN",
        "authorized_official_title_or_position": "HIM DIRECTOR",
        "authorized_official_telephone_number": "334-874-7428"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RHMPI - Selma Health Center and Administrative Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Selma, AL

Sources for this page

Verify at the official NPI Registry.