SLOCOMB FAMILY HEALTH CENTER
NPI 1023290608
Clinic/Center - Federally Qualified Health Center (FQHC) in Slocomb, AL

Active since December 05, 2007CLIA 01D1077388 · Waiver
162 S DALTON ST, SLOCOMB, AL 36375(334) 886-3023(334) 886-3028 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Slocomb Family Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SLOCOMB FAMILY HEALTH CENTER (NPI 1023290608) is a healthcare organization registered as a federally qualified health center (fqhc) in Slocomb, Alabama and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through June 21, 2028 and lists Pamylon Bowers, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1023290608
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES
Location Address162 S DALTON STSlocomb, AL 36375-5669
Mailing Address1414 Elba HwyTroy, AL 36079-6020 · (334) 670-6726 · Fax (334) 670-6731
Fax(334) 886-3028
Organization SubpartNo
Authorized OfficialPamylon BowersChief Executive Officer · (334) 670-6726
Enumeration DateDecember 5, 2007
Last NPPES UpdateSeptember 12, 2022
NPPES CertifiedSeptember 12, 2022
NPI 1023290608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
162 S DALTON ST, Slocomb, AL 36375

Other Names 1

Doing Business AsSlocomb Family Health Center

Other Identifiers 1

Medicaid630007018AL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D1077388

Slocomb Family Health Center · Slocomb, AL
Active · expires Jun 21, 2028
CLIA Number01D1077388
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorDr. Nasser Samuy
Laboratory Phone(334) 886-3023
Laboratory LocationSlocomb Family Health Center162 South Dalton Street, Slocomb, AL 36375
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
162 S DALTON ST
SLOCOMB, AL 36375
Nurse Practitioner (Family)
162 S DALTON ST
SLOCOMB, AL 36375
Family Medicine
162 S DALTON ST
SLOCOMB, AL 36375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Alabama Rural Health Associates's NPI number?

The NPI number for Southeast Alabama Rural Health Associates is 1023290608. It was assigned to this organization in the NPPES registry on December 5, 2007. The provider is doing business as Slocomb Family Health Center.

Where is Southeast Alabama Rural Health Associates located?

Southeast Alabama Rural Health Associates is located at 162 S Dalton St, Slocomb, AL 36375. The listed phone number is (334) 886-3023.

What is Southeast Alabama Rural Health Associates's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Southeast Alabama Rural Health Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D1077388) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southeast Alabama Rural Health Associates was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.