Healthcare Provider Details

I. General information

NPI: 1487968723
Provider Name (Legal Business Name): RCHP-FLORENCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2010
Last Update Date: 07/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 MARENGO ST
FLORENCE AL
35630-6033
US

IV. Provider business mailing address

205 MARENGO ST
FLORENCE AL
35630-6033
US

V. Phone/Fax

Practice location:
  • Phone: 256-768-9191
  • Fax: 256-768-9775
Mailing address:
  • Phone: 256-768-9191
  • Fax: 256-768-9775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: JOHN M. RUTLEDGE
Title or Position: PRESIDENT & COO
Credential:
Phone: 615-227-1415