MEDICARE: RTTS SERVICES CORPORATION

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1740819507
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RTTS SERVICES CORPORATION

Provider Business Mailing Address
First Line	:	16700 CHARLESTON PIKE
Second Line	:
City	:	KINGSTON
State	:	OH
Zip	:	45644-9584
Country	:	US
Telephone Number	:	740-649-2251
Fax Number	:	740-851-4234

Provider Business Practice Location Address
First Line	:	67 E WATER ST
Second Line	:
City	:	CHILLICOTHEE
State	:	OH
Zip	:	45601-2535
Country	:	US
Telephone Number	:	740-851-4526
Fax Number	:	740-851-6624

Authorized Official
Title or Position	:	CEO
Name	:	MR. RUFUS F LOWMAN JR.
Credential	:	PA-C
Telephone Number	:	740-851-4526

Provider Enumeration Date	:	04/03/2020
Last Update Date	:	04/03/2020

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