Healthcare Provider Details

I. General information

NPI: 1417802471
Provider Name (Legal Business Name): RURAL HEALTH REVENUE ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1306 WASHINGTON AVE
ROCKY FORD CO
81067-2145
US

IV. Provider business mailing address

1306 WASHINGTON AVE
ROCKY FORD CO
81067-2145
US

V. Phone/Fax

Practice location:
  • Phone: 919-669-0324
  • Fax: 919-669-0324
Mailing address:
  • Phone: 919-669-0324
  • Fax: 919-669-0324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: AMANDA CASHWELL
Title or Position: OWNER
Credential:
Phone: 919-669-0324