Provider Demographics
NPI:1508277310
Name:RURAL PRIMARY CARE SOUTH, INC.
Entity Type:Organization
Organization Name:RURAL PRIMARY CARE SOUTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:205-647-1819
Mailing Address - Street 1:143 WHITE OAK TRL
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WARRIOR
Mailing Address - State:AL
Mailing Address - Zip Code:35180-5736
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:143 WHITE OAK TRL
Practice Address - Street 2:SUITE 2
Practice Address - City:WARRIOR
Practice Address - State:AL
Practice Address - Zip Code:35180-5736
Practice Address - Country:US
Practice Address - Phone:205-647-1819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-14
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health