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Contact Information

SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES
1412 ELBA HWY
TROY, AL36079
 Phone: 334-566-8822
 Fax: 334-670-2081
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES

NPI Number 1578625125
LBN Legal business name SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES
Authorized official PAMYLON BOWERS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2006
Last updated 09/12/2022 - About 4 years ago
Identifiers
AL Medicaid 630005018
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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