| NPI | 1750457941 |
|---|---|
| Other Name | RUSSELLVILLE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | KATHY L HALL Executive Director 256-332-1361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2010-10-07 |