Healthcare Provider Details
I. General information
NPI: 1235290149
Provider Name (Legal Business Name): RURAL HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/13/2006
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4645 AUGUSTA ROAD
BEECH ISLAND SC
29842-7265
US
IV. Provider business mailing address
1000 CLYNURN PLACE
AIKEN SC
29801-4191
US
V. Phone/Fax
- Phone: 803-380-7000
- Fax: 803-593-0607
- Phone: 803-380-7000
- Fax: 803-593-0607
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DONALD
BRANUM
JR.
Title or Position: CEO
Credential:
Phone: 803-380-7000