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NPI Code Detail

MEDICARE: RURAL HEALTH GROUP, INC.

MEDICARE: RURAL HEALTH GROUP, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
202153OTHERNCBCBS OF NORTH CAROLINA

General Provider Information

NPI Number : 1093767535
Entity Type Code : Organization
Provider Name (Legal Business Name) : RURAL HEALTH GROUP, INC.
Provider Business Mailing Address
First Line : 2064 HWY 125
Second Line : P.O. BOX 640
City : ROANOKE RAPIDS
State : NC
Zip : 27870-0640
Country : US
Telephone Number : 252-536-5791
Fax Number : 252-536-5444
Provider Business Practice Location Address
First Line : 108 MOSBY AVE
Second Line :
City : LITTLETON
State : NC
Zip : 27850-9411
Country : US
Telephone Number : 252-586-5151
Fax Number : 252-586-2028
Authorized Official
Title or Position : CORPORATE COMPLIANCE OFFICER
Name : MS. JUDY BELCH BEASLEY
Credential :
Telephone Number : 252-536-5791
Provider Enumeration Date : 05/16/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1528170164 — MS. DARLENE CHRISTINE KOCICH FNP-C
Practice Location Address:
108 MOSBY AVE
LITTLETON, NC
27850-9411
Practice Phone: 252-586-5411
Practice Fax: 252-586-2028
1568449486 — ASHBY JEFFRIES BURTON III MD
Practice Location Address:
129 THREE CHOPT RD
LITTLETON, NC
27850-8071
Practice Phone: 252-586-2105
Practice Fax:
1831150366 — LITTLETON FAMILY PRACTICE
Practice Location Address:
143 ELAMS RD
LITTLETON, NC
27850-8479
Practice Phone: 252-586-4923
Practice Fax: 252-586-9809
1780782649 — GWM ENTERPRISES INC
Practice Location Address:
139 ELAMS RD
LITTLETON, NC
27850-8479
Practice Phone: 252-586-3836
Practice Fax: 252-586-2348
1649365701 — LITTLETON PHARMACY INC.
Practice Location Address:
123 E. S. MAIN ST.
LITTLETON, NC
27850
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Practice Fax: 252-586-7377
1710077326 — CINDY BROWN COCKRELL LCSW
Practice Location Address:
127 WEST SOUTH MAIN ST , UNIT #5
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27850-9822
Practice Phone: 252-586-2160
Practice Fax: 252-586-6720

Directions to “RURAL HEALTH GROUP, INC. ” Practice Location

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