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General NPI Number Information
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NPI Number | 1477424802
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Entity Type | Organization
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Legal Business Name | RURAL MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1210 STATE ST
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City | WHITE PINE
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State | TN
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Zip | 37890-3467
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Country | US
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Telephone | 865-263-1172
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 577
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City | NEWPORT
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State | TN
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Zip | 37822-0577
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Country | US
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Telephone | 423-613-3300
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Fax | 423-623-4088
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Authorized Official
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Title or Position | CFO
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Name | AMY BRADSHAW
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Credential |
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Telephone | 423-613-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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