Healthcare Provider Details

I. General information

NPI: 1477950632
Provider Name (Legal Business Name): RURAL HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2014
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 CLYBURN PLACE
AIKEN SC
29801-4193
US

IV. Provider business mailing address

1000 CLYBURN PLACE
AIKEN SC
29801-4193
US

V. Phone/Fax

Practice location:
  • Phone: 803-380-7000
  • Fax:
Mailing address:
  • Phone: 803-380-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MARK C. HEDMAN
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 803-380-7001