SLOCOMB FAMILY HEALTH CENTER (SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES) NPI 1023290608

Clinic/Center (Federally Qualified Health Center (FQHC)) in Slocomb, AL

NPI 1023290608 Organization Clinic/Center Federally Qualified Health Center (FQHC) CLIA Number 01D1077388 CLIA Certificate of Waiver

About SLOCOMB FAMILY HEALTH CENTER (SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES)

Slocomb Family Health Center (southeast Alabama Rural Health Associates) is a primary care provider established in Slocomb, Alabama specializing in clinic/center (federally qualified health center (fqhc)) . The NPI number of Slocomb Family Health Center (southeast Alabama Rural Health Associates) is 1023290608 and was assigned on December 2007. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Slocomb Family Health Center. The authorized official of this NPI record is Mr. John A Little (Chief Executive Officer)

A primary care provider (PCP) like Slocomb Family Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

The CLIA number of Slocomb Family Health Center is 01D1077388 registered as a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Slocomb Family Health Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1023290608

Provider NameSLOCOMB FAMILY HEALTH CENTER (SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES)
Provider Location Address162 S DALTON ST SLOCOMB, AL 36375
Provider Mailing Address1414 ELBA HWY TROY, AL 36079
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSLOCOMB FAMILY HEALTH CENTER
Other Name TypeDoing Business As (3)
Enumeration Date12-05-2007
Last Update Date02-03-2012


Primary Taxonomy

Taxonomy Code261QF0400X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationFederally Qualified Health Center (FQHC)

Business Address

SLOCOMB FAMILY HEALTH CENTER
162 S DALTON ST
SLOCOMB, AL
ZIP 36375
Phone: (334) 886-3023
Fax: (334) 886-3028

Get Directions


Mailing Address

SLOCOMB FAMILY HEALTH CENTER
1414 ELBA HWY
TROY, AL
ZIP 36079
Phone: (334) 670-6726
Fax: (334) 670-6731



Authorized Official

Authorized Official NameMR. JOHN A LITTLE
Authorized Official TitleCHIEF EXECUTIVE OFFICER
Authorized Official Phone(334) 670-6726

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1023290608 is:

CLIA Number01D1077388
Facility TypeFEDERALLY QUALIFIED HEALTH CENTER
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
011955MEDICARE OSCAR/CERTIFICATION (06)AL
1023290608MEDICARE OSCAR/CERTIFICATION (06)AL
630007018MEDICAID (05)AL

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386916906 SUSAN M THOMPSON NP
Individual
Nurse Practitioner (Family)162 S DALTON ST
SLOCOMB, AL 36375
(334) 886-3023
1548652555 RODNEY KERNS M.D.
Individual
Family Medicine162 S DALTON ST
SLOCOMB, AL 36375
(334) 886-3023

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.