Healthcare Provider Details

I. General information

NPI: 1477424802
Provider Name (Legal Business Name): RURAL MEDICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1210 STATE ST
WHITE PINE TN
37890-3467
US

IV. Provider business mailing address

PO BOX 577
NEWPORT TN
37822-0577
US

V. Phone/Fax

Practice location:
  • Phone: 865-263-1172
  • Fax:
Mailing address:
  • Phone: 423-613-3300
  • Fax: 423-623-4088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: AMY BRADSHAW
Title or Position: CFO
Credential:
Phone: 423-613-3300