Healthcare Provider Details

I. General information

NPI: 1619864626
Provider Name (Legal Business Name): RURAL MEDICINE DIRECT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20530 BIG SPRINGS RD STE 3
WEED CA
96094-9600
US

IV. Provider business mailing address

20530 BIG SPRINGS RD STE 3
WEED CA
96094-9600
US

V. Phone/Fax

Practice location:
  • Phone: 541-646-4088
  • Fax: 541-290-1290
Mailing address:
  • Phone: 541-646-4088
  • Fax: 541-290-1290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER ANNE SHEALY
Title or Position: PRESIDENT
Credential: NP
Phone: 541-646-4088