Healthcare Provider Details

I. General information

NPI: 1679525380
Provider Name (Legal Business Name): RMSA INC HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 W HARRISON ST
REIDSVILLE NC
27320-5015
US

IV. Provider business mailing address

409 W HARRISON ST
REIDSVILLE NC
27320-5015
US

V. Phone/Fax

Practice location:
  • Phone: 336-349-1141
  • Fax: 336-349-4661
Mailing address:
  • Phone: 336-349-1141
  • Fax: 336-349-4661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number31528
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number26371
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number31528
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number26371
License Number StateNC
# 5
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number26371
License Number StateNC

VIII. Authorized Official

Name: MRS. LOUISE M SMITH
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 336-349-1141