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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
102547OTHERNCBCBS OF NORTH CAROLINA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689626178
Entity Type Code : Organization
Provider Name (Legal Business Name) : RURAL HEALTH GROUP, INC.
Provider Business Mailing Address
First Line : PO BOX 640
Second Line :
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 : 9425 NC 305 HWY
Second Line :
City : JACKSON
State : NC
Zip : 27845
Country : US
Telephone Number : 252-534-1661
Fax Number : 252-534-2841
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

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