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NPI Code Detail

MEDICARE: RURAL HEALTH, INC.

MEDICARE: RURAL HEALTH, 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)

General Provider Information

NPI Number : 1942968664
Entity Type Code : Organization
Provider Name (Legal Business Name) : RURAL HEALTH, INC.
Provider Business Mailing Address
First Line : 513 N MAIN ST
Second Line :
City : ANNA
State : IL
Zip : 62906-1697
Country : US
Telephone Number : 618-833-4471
Fax Number :
Provider Business Practice Location Address
First Line : 211 N BROADWAY
Second Line :
City : GOREVILLE
State : IL
Zip : 62939-2323
Country : US
Telephone Number : 618-995-1002
Fax Number : 618-995-1133
Authorized Official
Title or Position : CEO
Name : CYNTHIA K FLAMM
Credential : LCSW
Telephone Number : 618-833-4471
Provider Enumeration Date : 11/30/2021
Last Update Date : 04/18/2022

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Directions to “RURAL HEALTH, INC. ” Practice Location

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