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General NPI Number Information
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NPI Number | 1053852525
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Entity Type | Organization
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Legal Business Name | RURAL HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 03/16/2017
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 1000 CLYBURN PLACE
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City | AIKEN
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State | SC
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Zip | 29801-4193
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Country | US
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Telephone | 803-380-7000
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Fax | 803-502-8491
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Provider Business Mailing Address
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Address Line | 1000 CLYBURN PLACE
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City | AIKEN
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State | SC
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Zip | 29801-4193
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Country | US
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Telephone | 803-380-7000
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Fax | 803-502-4248
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Authorized Official
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Title or Position | CEO
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Name | DONALD BRANUM
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Credential |
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Telephone | 803-380-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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