Healthcare Provider Details

I. General information

NPI: 1003022955
Provider Name (Legal Business Name): RUSH INITIATIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1190 MAIN STREET
SUMITON AL
35148
US

IV. Provider business mailing address

PO BOX 1188
SUMITON AL
35148-1188
US

V. Phone/Fax

Practice location:
  • Phone: 205-648-0658
  • Fax: 205-648-2886
Mailing address:
  • Phone: 205-648-0658
  • Fax: 205-648-2886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: SUSAN SWARTZ
Title or Position: DIRECTOR-OFFICER
Credential:
Phone: 205-521-6313