Provider Demographics
NPI:1306551288
Name:RURAL HEALTH CLINICS LLC
Entity type:Organization
Organization Name:RURAL HEALTH CLINICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:BOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:256-333-4118
Mailing Address - Street 1:PO BOX 2470
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35662-2470
Mailing Address - Country:US
Mailing Address - Phone:256-333-4118
Mailing Address - Fax:256-333-4031
Practice Address - Street 1:1914 VETERANS DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-4933
Practice Address - Country:US
Practice Address - Phone:256-503-3081
Practice Address - Fax:256-333-4031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty