Healthcare Provider Details

I. General information

NPI: 1215969803
Provider Name (Legal Business Name): RURAL HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 MAIN ST
GORDON GA
31031-3841
US

IV. Provider business mailing address

PO BOX 39
GORDON GA
31031-0039
US

V. Phone/Fax

Practice location:
  • Phone: 478-628-1636
  • Fax: 478-628-1639
Mailing address:
  • Phone: 478-628-1636
  • Fax: 478-628-1639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number058125
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number021573
License Number StateGA

VIII. Authorized Official

Name: RAM K PURI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 478-628-1636