10101 LOUISVILLE CLINIC 31 RAILROAD STREET LOUISVILLE 36048-0000

W
Document Sample
scope of work template
							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

						
Related docs