| Rural Health Medical Program, Inc | |
|
3040 S Alabama Ave Monroeville AL 36460-5600 | |
| (844) 736-7629 | |
| Not Available |
| Full Name | Rural Health Medical Program, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3040 S Alabama Ave, Monroeville, Alabama |
| Authorized Official Name and Position | Keshee Danee Smith (CEO) |
| Authorized Official Contact | 3348747428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health Medical Program, Inc 101 Park Pl Selma AL 36701-6764 Ph: (334) 874-7428 | Rural Health Medical Program, Inc 3040 S Alabama Ave Monroeville AL 36460-5600 Ph: (844) 736-7629 |
| NPI Number | 1457994121 |
|---|---|
| Provider Enumeration Date | 10/24/2019 |
| Last Update Date | 10/24/2019 |
| Medicare PECOS PAC ID | 0143219196 |
|---|---|
| Medicare Enrollment ID | O20200909003329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457994121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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