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General NPI Number Information
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NPI Number | 1689543084
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Entity Type | Organization
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Legal Business Name | RURAL HEALTH ACCESS CORPORATION
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 555 MAIN STREET
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City | CHAPMANVILLE
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State | WV
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Zip | 25508
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Country | US
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Telephone | 304-688-9901
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4013
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City | CHAPMANVILLE
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State | WV
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Zip | 25508-4013
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Country | US
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Telephone | 304-855-1200
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BRENT TOMBLIN
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Credential |
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Telephone | 304-855-1200
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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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