10101 LOUISVILLE CLINIC 31 RAILROAD STREET LOUISVILLE 36048-0000
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10/1/01 PROVIDER SERVICES DIRECTORY
RURAL HEALTH CLINICS
BARBOUR COUNTY BUTLER COUNTY
LOUISVILLE CLINIC FAMILY RURAL MEDICAL CLINIC
31 RAILROAD STREET 128 CHURCH STREET
LOUISVILLE 36048-0000 (334) 266-5383 GEORGIANA 36033-0000 (334) 376-2291
RURAL HEALTH CLINIC RURAL HEALTH CLINIC
OWNERSHIP: NON-PROFIT CORPORATION OWNERSHIP: CORPORATION
ADMINISTRATOR: ADMINISTRATOR: J. GORDON FAULK
FAC ID: B0302 LIC: NOT SUBJECT TO LICENSURE FAC ID: B0702 LIC: NOT SUBJECT TO LICENSURE
MEDICARE: 01-3414 MEDICARE: 01-3424
BIBB COUNTY
GREENVILLE PEDIATRICS
BIBB MEDICAL ASSOCIATES RURAL HEALTH CLINIC 220 FORT DALE ROAD
402 BELCHER STREET GREENVILLE 36037-0000 (334) 382-9760
CENTREVILLE 35042-0000 (205) 926-4694 RURAL HEALTH CLINIC
RURAL HEALTH CLINIC OWNERSHIP: LIMITED LIABILITY COMPANY
OWNERSHIP: COUNTY ADMINISTRATOR: D. HUBBARD/C. NORRIS
ADMINISTRATOR: TERRY J SMITH FAC ID: B0703 LIC: NOT SUBJECT TO LICENSURE
FAC ID: B0401 LIC: NOT SUBJECT TO LICENSURE MEDICARE: 01-3905
MEDICARE: 01-3976
CHEROKEE COUNTY
BLOUNT COUNTY
BHC-CENTRE
BHC-BLOUNT AND ETOWAH 395 NORTHWOOD DRIVE
203 SHIRLEY STREET CENTRE 35960-0000 (205) 927-4900
ONEONTA 35121-0000 (205) 274-8198 RURAL HEALTH CLINIC
RURAL HEALTH CLINIC OWNERSHIP: NON-PROFIT CORPORATION
OWNERSHIP: NON-PROFIT CORPORATION ADMINISTRATOR: LISA GREESON
ADMINISTRATOR: GREGORY L. UNDERWOOD FAC ID: B1001 LIC: NOT SUBJECT TO LICENSURE
FAC ID: B0501 LIC: NOT SUBJECT TO LICENSURE MEDICARE: 01-3886
MEDICARE: 01-3873
CHOCTAW COUNTY
BULLOCK COUNTY
CHOCTAW URGENT CARE CENTER
MEDICAL BUILDING CLINIC, THE #1 INDEPENDENCE SQUARE
309 NORTH PRAIRE STREET BUTLER 36904-0000 (205) 459-4499
UNION SPRINGS 36089-0000 RURAL HEALTH CLINIC
RURAL HEALTH CLINIC OWNERSHIP: CORPORATION
OWNERSHIP: CORPORATION ADMINISTRATOR: L. KEITH GUINN, M.D.
ADMINISTRATOR: JACQUES JARRY FAC ID: B1203 LIC: NOT SUBJECT TO LICENSURE
FAC ID: B0601 LIC: NOT SUBJECT TO LICENSURE MEDICARE: 01-3422
MEDICARE: 01-3913
10/1/01 PROVIDER SERVICES DIRECTORY
RURAL HEALTH CLINICS
CLARKE COUNTY CULLMAN COUNTY
COFFEEVILLE MEDICAL CLINIC ADDISON PRIMARY CARE
12 LONG STREET HIGHWAY 278 WEST
COFFEEVILLE 36524-0000 (334) 275-3191 ROUTE 1, BOX 2
RURAL HEALTH CLINIC ADDISON 35540-0000 (205) 747-8100
OWNERSHIP: COUNTY RURAL HEALTH CLINIC
ADMINISTRATOR: FLOYD N. PRICE OWNERSHIP: CORPORATION
FAC ID: B1304 LIC: NOT SUBJECT TO LICENSURE ADMINISTRATOR: W. F. PEINHARDT, M.D.
MEDICARE: 01-3900 FAC ID: B2205 LIC: NOT SUBJECT TO LICENSURE
MEDICARE: 01-3895
COVINGTON COUNTY
COVINGTON PEDIATRICS RURAL HEALTH CLINIC BAILEYTON MEDICAL CLINIC
109 MEDICAL PARK DRIVE, SUITE A 105 FIRE STATION ROAD
ANDALUSIA 36420-0000 (334) 222-0119 BAILEYTON 35019-0000 (205) 796-2155
RURAL HEALTH CLINIC RURAL HEALTH CLINIC
OWNERSHIP: INDIVIDUAL OWNERSHIP: CORPORATION
ADMINISTRATOR: CHARLES E. ELDRIDGE ADMINISTRATOR: W.F. PEINHARDT, M.D.
FAC ID: B2004 LIC: NOT SUBJECT TO LICENSURE FAC ID: B2203 LIC: NOT SUBJECT TO LICENSURE
MEDICARE: 01-3884 MEDICARE: 01-3892
THREE NOTCH MEDICAL CENTER, P.C. CULLMAN INTERNAL MEDICINE, P.C.
835 THREE NOTCH STREET 1890 ALABAMA HIGHWAY 157 SUITE 300
ANDALUSIA 36420-0000 (334) 222-8421 CULLMAN 35058-0000 (205) 734-9370
RURAL HEALTH CLINIC RURAL HEALTH CLINIC
OWNERSHIP: CORPORATION OWNERSHIP: CORPORATION
ADMINISTRATOR: J.F. MADDOX, M.D. ADMINISTRATOR: W. F. PEINHARDT, M.D.
FAC ID: B2003 LIC: NOT SUBJECT TO LICENSURE FAC ID: B2202 LIC: NOT SUBJECT TO LICENSURE
MEDICARE: 01-3876 MEDICARE: 01-3846
CRENSHAW COUNTY DEKALB COUNTY
FAMILY CARE CENTER-CRENSHAW BHC-DEKALB CLINIC
101 BAPTIST LANE 415 MEDICAL CENTER DRIVE
LUVERNE 36049-0000 (334) 335-3374 FT PAYNE 35968-9547 (256) 997-2147
RURAL HEALTH CLINIC RURAL HEALTH CLINIC
OWNERSHIP: CORPORATION OWNERSHIP: CORPORATION
ADMINISTRATOR: WAYNE SASSER ADMINISTRATOR: JEFF BREWER
FAC ID: B2101 LIC: NOT SUBJECT TO LICENSURE FAC ID: B2501 LIC: NOT SUBJECT TO LICENSURE
MEDICARE: 01-3411 MEDICARE: 01-3856
10/1/01 PROVIDER SERVICES DIRECTORY
RURAL HEALTH CLINICS
DEKALB COUNTY JACKSON COUNTY
SOUTH DEKALB FAMILY MEDICAL CENTER, INC. PISGAH MEDICAL CLINIC
HIGHWAY 68 WEST, ROUTE 3, BOX 11B 100 MAIN STREET
CROSSVILLE 35962-0000 (205) 528-7173 PISGAH 35765-0000 (205) 451-1250
RURAL HEALTH CLINIC RURAL HEALTH CLINIC
OWNERSHIP: CORPORATION OWNERSHIP: INDIVIDUAL
ADMINISTRATOR: BRENDA COLVIN ADMINISTRATOR: MUHAMMAD E. ATA
FAC ID: B2502 LIC: NOT SUBJECT TO LICENSURE FAC ID: B3601 LIC: NOT SUBJECT TO LICENSURE
MEDICARE: 01-3854 MEDICARE: 01-3864
ELMORE COUNTY
SKYLINE PRIMARY HEALTH CENTER
ELMORE COMMUNITY RURAL HEALTH CLINIC 21680 ALABAMA HIGHWAY 79
815 JACKSON TRACE ROAD SCOTTSBORO 35768-0000
P.O. BOX 130 OWNERSHIP:
WETUMPKA 36092-0000 (334) 567-2882 ADMINISTRATOR:
RURAL HEALTH CLINIC FAC ID: B3602 LIC: NOT SUBJECT TO LICENSURE
OWNERSHIP: LIMITED LIABILITY COMPANY MEDICARE: 01-1905
ADMINISTRATOR: THOMAS J. ENRIGHT
FAC ID: B2602 LIC: NOT SUBJECT TO LICENSURE LAMAR COUNTY
MEDICARE: 01-3434
DETROIT FAMILY MEDICAL CLINIC
ETOWAH COUNTY 65776 HIGHWAY 17
DETROIT 35552-0000 (205) 273-4332
BAPTIST HEALTH CENTER-BLOUNT AND ETOWAH RURAL HEALTH CLINIC
180 MEDICAL STREET OWNERSHIP: CORPORATION
P.O. BOX 576 ADMINISTRATOR: JEFFREY B. BARBER, DR. P.H.
SNEAD 35952-0000 (205) 466-7114 FAC ID: B3803 LIC: NOT SUBJECT TO LICENSURE
RURAL HEALTH CLINIC MEDICARE: 01-3916
OWNERSHIP: NON-PROFIT CORPORATION
ADMINISTRATOR: DONNA CONN LAWRENCE COUNTY
FAC ID: B2801 LIC: NOT SUBJECT TO LICENSURE
MEDICARE: 01-3888 BAPTIST HEALTH SYSTEM, INC. D/B/A MOULTON
FAMILY HEALTH CLINIC
FRANKLIN COUNTY 134 MEDICAL CLINIC, SUITE E
MOULTON 35650-0000 (205) 974-2200
PHIL CAMPBELL MEDICAL CLINIC RURAL HEALTH CLINIC
2930 HIGHWAY 237 OWNERSHIP: NON-PROFIT CORPORATION
P.O. BOX 817 ADMINISTRATOR: RONALD L. SPARKMAN
PHIL CAMPBELL 35581-0000 (205) 993-5642 FAC ID: B4001 LIC: NOT SUBJECT TO LICENSURE
RURAL HEALTH CLINIC MEDICARE: 01-3994
OWNERSHIP: CORPORATION
ADMINISTRATOR: KEITH MORROW
FAC ID: B3001 LIC: NOT SUBJECT TO LICENSURE
MEDICARE: 01-3405
10/1/01 PROVIDER SERVICES DIRECTORY
RURAL HEALTH CLINICS
LAWRENCE COUNTY MARENGO COUNTY
COURTLAND FAMILY HEALTH CLINIC MARENGO FAMILY HEALTH CENTER
350 TENNESSEE STREET 1007 SOUTH MAIN STREET
P.O. BOX 320 LINDEN 36748-0000 (334) 295-4000
COURTLAND 35618-0000 (205) 637-8033 RURAL HEALTH CLINIC
RURAL HEALTH CLINIC OWNERSHIP: COUNTY
OWNERSHIP: NON-PROFIT CORPORATION ADMINISTRATOR: CHARLES E. NABORS
ADMINISTRATOR: RONALD L. SPARKMAN FAC ID: B4602 LIC: NOT SUBJECT TO LICENSURE
FAC ID: B4003 LIC: NOT SUBJECT TO LICENSURE MEDICARE: 01-3992
MEDICARE: 01-3401
MARION COUNTY
LIMESTONE COUNTY
MORROW CLINICS, INC.
ATHENS FAMILY CARE HIGHWAY 43
707 WEST MARKET STREET P.O. BOX 221
ATHENS 35611-0000 (256) 233-5145 HACKLEBURG 35564-0000 (205) 935-3744
RURAL HEALTH CLINIC RURAL HEALTH CLINIC
OWNERSHIP: INDIVIDUAL OWNERSHIP: CORPORATION
ADMINISTRATOR: MILTON GEORGE ADMINISTRATOR: S. KEITH MORROW
FAC ID: B4201 LIC: NOT SUBJECT TO LICENSURE FAC ID: B4702 LIC: NOT SUBJECT TO LICENSURE
MEDICARE: 01-3919 MEDICARE: 01-3851
MACON COUNTY MARSHALL COUNTY
LAKESHORE FAMILY HEALTH CARE GUNTERSVILLE FAMILY PRACTICE CLINIC
102 LAKEVIEW DRIVE 1241 BLOUNT AVENUE
TUSKEGEE 36083-0000 (334) 727-5900 GUNTERSVILLE 35976-0000 (205) 582-6377
RURAL HEALTH CLINIC RURAL HEALTH CLINIC
OWNERSHIP: CORPORATION OWNERSHIP: INDIVIDUAL
ADMINISTRATOR: K. BYRON LOWERY ADMINISTRATOR: VIVIAN N. HANNON
FAC ID: B4401 LIC: NOT SUBJECT TO LICENSURE FAC ID: B4801 LIC: NOT SUBJECT TO LICENSURE
MEDICARE: 01-3403 MEDICARE: 01-3894
MADISON COUNTY
MARSHALL FAMILY HEALTH CLINIC
MOUNTAIN VIEW FAMILY MEDICINE 11491 HIGHWAY 431 NORTH, SUITE A
5995-B HIGHWAY 72 EAST ALBERTVILLE 35950-0000 (205) 753-8008
GURLEY 35748-0000 (256) 776-2094 RURAL HEALTH CLINIC
RURAL HEALTH CLINIC OWNERSHIP: COUNTY
OWNERSHIP: COUNTY ADMINISTRATOR: GARY R. GORE
ADMINISTRATOR: DR. PARRISH FAC ID: B4802 LIC: NOT SUBJECT TO LICENSURE
FAC ID: B4501 LIC: NOT SUBJECT TO LICENSURE MEDICARE: 01-3902
MEDICARE: 01-3415
10/1/01 PROVIDER SERVICES DIRECTORY
RURAL HEALTH CLINICS
MARSHALL COUNTY PERRY COUNTY
MED-ASSIST SELMA BAPTIST CLINIC-MARION
3442 U. S. HIGHWAY 431 HIGHWAY 45 SOUTH, RT. 2 BOX 4-D
P.O. BOX 38 MARION 36756-0000 (334) 683-9085
ALBERTVILLE 35950-0000 (256) 593-1234 RURAL HEALTH CLINIC
RURAL HEALTH CLINIC OWNERSHIP: NON-PROFIT CORPORATION
OWNERSHIP: CORPORATION ADMINISTRATOR: J. GLENN BROWN, JR.
ADMINISTRATOR: RAYMOND C. UFFORD, M.D. FAC ID: B5301 LIC: NOT SUBJECT TO LICENSURE
FAC ID: B4804 LIC: NOT SUBJECT TO LICENSURE MEDICARE: 01-3982
MEDICARE: 01-3908
PICKENS COUNTY
MOBILE COUNTY
ALICEVILLE RURAL HEALTH CLINIC
BAYOU LA BATRE RURAL HEALTH CLINIC, PC 1400 CARROLLTON ROAD
13833 TAPIA AVENUE ALICEVILLE 35442-0000 (205) 373-6323
BAYOU LA BATRE 36509-0000 (334) 824-4985 RURAL HEALTH CLINIC
RURAL HEALTH CLINIC OWNERSHIP: INDIVIDUAL
OWNERSHIP: CORPORATION ADMINISTRATOR: JAMES H. GENTRY, SR., M.D.
ADMINISTRATOR: REGINA BENJAMIN, M.D. FAC ID: B5402 LIC: NOT SUBJECT TO LICENSURE
FAC ID: B4901 LIC: NOT SUBJECT TO LICENSURE MEDICARE: 01-3868
MEDICARE: 01-3845
RANDOLPH COUNTY
MONROE COUNTY
WADLEY MEDICAL CLINIC
MCH RURAL HEALTH CLINIC 203 TALLAPOOSA STREET
53 MULBERRY STREET WADLEY 36276-0000 (256) 395-4157
P.O. BOX 1003 RURAL HEALTH CLINIC
FRISCO CITY 36445-0000 (334) 267-3900 OWNERSHIP: COUNTY
RURAL HEALTH CLINIC ADMINISTRATOR: CHARLES B. GILBERT
OWNERSHIP: HEALTHCARE AUTHORITY FAC ID: B5601 LIC: NOT SUBJECT TO LICENSURE
ADMINISTRATOR: JOSEPH P. ZAGER MEDICARE: 01-3978
FAC ID: B5003 LIC: NOT SUBJECT TO LICENSURE
MEDICARE: 01-3428
WEDOWEE RURAL HEALTH CLINIC
MORGAN COUNTY 209 NORTH MAIN STREET
WEDOWEE 36278-0307 (256) 357-2188
BRINDLEE MOUNTAIN FAMILY PRACTICE CLINIC RURAL HEALTH CLINIC
4258 U. S. HIGHWAY 231, SUITE 5 OWNERSHIP: CORPORATION
LACEY'S SPRING 35754- (256) 498-5770 ADMINISTRATOR: KERLEVE MITCHELL
RURAL HEALTH CLINIC FAC ID: B5604 LIC: NOT SUBJECT TO LICENSURE
OWNERSHIP: NON-PROFIT CORPORATION MEDICARE: 01-3432
ADMINISTRATOR: VIVIAN HANNON
FAC ID: B5203 LIC: NOT SUBJECT TO LICENSURE
MEDICARE: 01-3911
10/1/01 PROVIDER SERVICES DIRECTORY
RURAL HEALTH CLINICS
RANDOLPH COUNTY SUMTER COUNTY
WOODLAND CLINIC HILL HOSPITAL PHYSICIANS CLINIC
76 COUNTY ROAD 64 723 DERBY DRIVE
P.O. BOX 186 YORK 36925-0000 (205) 392-5263
WOODLAND 36280-0000 (205) 449-2001 RURAL HEALTH CLINIC
RURAL HEALTH CLINIC OWNERSHIP: CITY-COUNTY
OWNERSHIP: CORPORATION ADMINISTRATOR: LARRY BAIRD
ADMINISTRATOR: JEFF L. STEWART FAC ID: B6003 LIC: NOT SUBJECT TO LICENSURE
FAC ID: B5603 LIC: NOT SUBJECT TO LICENSURE MEDICARE: 01-3430
MEDICARE: 01-3883
ST. CLAIR COUNTY RUSH MEDICAL GROUP - LIVINGSTON
1221 WASHINGTON STREET
MAINSTREET MEDICAL CLINIC LIVINGSTON 35470-0000 (205) 652-9575
1508 COSWELL AVENUE RURAL HEALTH CLINIC
PELL CITY 35125-0000 (205) 814-1598 OWNERSHIP: CORPORATION
RURAL HEALTH CLINIC ADMINISTRATOR: WALLACE STRICKLAND
OWNERSHIP: INDIVIDUAL FAC ID: B6002 LIC: NOT SUBJECT TO LICENSURE
ADMINISTRATOR: MARY SUE SUGGS MEDICARE: 01-3989
FAC ID: B5802 LIC: NOT SUBJECT TO LICENSURE
MEDICARE: 01-3917 TALLADEGA COUNTY
BAPTIST HEALTH CENTER-TALLADEGA
NORRELL CLINIC, P.A. 320 EAST COOSA STREET
1716 FIRST AVENUE NORTH TALLADEGA 35160-0000 (205) 362-3636
PELL CITY 35125-0000 (205) 338-2241 RURAL HEALTH CLINIC
RURAL HEALTH CLINIC OWNERSHIP: NON-PROFIT CORPORATION
OWNERSHIP: CORPORATION ADMINISTRATOR: JOHN SHELTON
ADMINISTRATOR: MILTON NORRELL, JR., M. D. FAC ID: B6104 LIC: NOT SUBJECT TO LICENSURE
FAC ID: B5801 LIC: NOT SUBJECT TO LICENSURE MEDICARE: 01-3848
MEDICARE: 01-3853
SHELBY COUNTY BHC/MUNFORD HEALTH CLINIC
48 NORTH CEDARS ROAD
SOUTHERN FAMILY HEALTH, LLC MUNFORD 36268-0000 (205) 358-4553
108 MILDRED STREET RURAL HEALTH CLINIC
COLUMBIANA 35051-0000 OWNERSHIP: NON-PROFIT CORPORATION
RURAL HEALTH CLINIC ADMINISTRATOR: CHARLES CLARK
OWNERSHIP: LIMITED LIABILITY COMPANY FAC ID: B6102 LIC: NOT SUBJECT TO LICENSURE
ADMINISTRATOR: JACQUELINE FREDERICK MEDICARE: 01-3811
FAC ID: B5901 LIC: NOT SUBJECT TO LICENSURE
MEDICARE: 01-3915
BHC-LINCOLN
47795 U.S. HIGHWAY 78
LINCOLN 35096-0000 (205) 763-7848
RURAL HEALTH CLINIC
OWNERSHIP: NON-PROFIT CORPORATION
ADMINISTRATOR: JOHN SHELTON
FAC ID: B6105 LIC: NOT SUBJECT TO LICENSURE
MEDICARE: 01-3855
10/1/01 PROVIDER SERVICES DIRECTORY
RURAL HEALTH CLINICS
TALLADEGA COUNTY WASHINGTON COUNTY
SYLACAUGA PEDIATRIC CLINIC, L.L.C. MILLRY HEALTH OPTIONS, LLC
115 WEST CLAY STREET 105 5TH AVENUE
SYLACAUGA 35150-3413 (205) 245-3267 P. O. BOX 562
RURAL HEALTH CLINIC MILLRY 36558- (334) 846-6266
OWNERSHIP: PARTNERSHIP RURAL HEALTH CLINIC
ADMINISTRATOR: ROBERT M. GRAY, M.D. OWNERSHIP: LIMITED LIABILITY COMPANY
FAC ID: B6101 LIC: NOT SUBJECT TO LICENSURE ADMINISTRATOR: EDWIN SANDERS
MEDICARE: 01-3847 FAC ID: B6502 LIC: NOT SUBJECT TO LICENSURE
MEDICARE: 01-3912
TALLAPOOSA COUNTY
LAKESHORE FAMILY MEDICINE WASHINGTON COUNTY INFIRMARY PHYSICIANS
301 MARIARDEN RD., SUITE D ST. STEPHENS ROAD
DADEVILLE 36853-0000 (205) 825-7871 P.O. BOXES 1328 AND 1388
RURAL HEALTH CLINIC CHATOM 36518-0000 (334) 847-2223
OWNERSHIP: CORPORATION RURAL HEALTH CLINIC
ADMINISTRATOR: MAVIS HALKO OWNERSHIP: COUNTY
FAC ID: B6201 LIC: NOT SUBJECT TO LICENSURE ADMINISTRATOR: HOWARD HOLCOMB
MEDICARE: 01-3420 FAC ID: B6501 LIC: NOT SUBJECT TO LICENSURE
MEDICARE: 01-3988
WALKER COUNTY
CAPSTONE RURAL HEALTH CENTER
1220 MAIN DRIVE
PARRISH 35580-0000 (205) 686-5113
RURAL HEALTH CLINIC
OWNERSHIP: STATE/NOT SUBJECT TO FEE
ADMINISTRATOR: JERI DUNKIN
FAC ID: B6403 LIC: NOT SUBJECT TO LICENSURE
MEDICARE: 01-3920
HMC RURAL HEALTH CLINICS-JASPER
2201 NORTH AIRPORT ROAD
JASPER 35501-0000 (800) 789-6764
RURAL HEALTH CLINIC
OWNERSHIP: PARTNERSHIP
ADMINISTRATOR: CHERYL S. CRAIG
FAC ID: B6401 LIC: NOT SUBJECT TO LICENSURE
MEDICARE: 01-3878
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