VREDENBURGH HEALTH CENTER
NPI 1104995208
Clinic/Center - Federally Qualified Health Center (FQHC) in Vredenburgh, AL
About Vredenburgh Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VREDENBURGH HEALTH CENTER (NPI 1104995208) is a healthcare organization registered as a federally qualified health center (fqhc) in Vredenburgh, Alabama and active in the NPI registry since November 2006. The organization lists Patricia Gibson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vredenburgh Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
43Medicare enrollment records show 43 clinicians reassign Medicare billing to Vredenburgh Health Center, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 43Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Rural Health Medical Program, Inc's NPI number?
The NPI number for Rural Health Medical Program, Inc is 1104995208. It was assigned to this organization in the NPPES registry on November 6, 2006. The provider is doing business as Vredenburgh Health Center.
Where is Rural Health Medical Program, Inc located?
Rural Health Medical Program, Inc is located at 558 County Road 56, Vredenburgh, AL 36481. The listed phone number is (334) 337-4787.
What is Rural Health Medical Program, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Rural Health Medical Program, Inc enrolled in Medicare?
Yes. Rural Health Medical Program, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rural Health Medical Program, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 9 Medicare specialties reassign their Medicare billing to Rural Health Medical Program, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (25), Family Practice (6) and Internal Medicine (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Rural Health Medical Program, Inc was last updated on December 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Vredenburgh Health Center · NPI 1104995208
Federally Qualified Health Center (FQHC) organization in Vredenburgh, Alabama. Organization record, active in the CMS NPPES registry since November 6, 2006.
## Identity
- **NPI:** 1104995208 (Entity type: Organization)
- **Enumerated:** November 6, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Rural Health Medical Program, Inc
- **Organization subpart:** Yes (part of Rural Health Medical Program, Inc.)
- **Authorized official:** Patricia Gibson, CEO
## Practice location
- **Address:** 558 COUNTY ROAD 56, Vredenburgh, AL 36481-0494
- **Phone:** (334) 337-4787 · **Fax:** (334) 337-4682
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 43 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (25), Family Practice (6), Internal Medicine (3); [full list](https://npiprofile.com/npi/1104995208/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 21, 2010
- **Other identifiers:** Medicaid 630000008 (AL); Other 011890 (AL)
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Source: [NPI Profile](https://npiprofile.com/npi/1104995208) · Data from the CMS NPPES public registry.