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RURAL HEALTH GROUP INC. NPI 1124269022


NPI Information

NPI: 1124269022
Provider Name: RURAL HEALTH GROUP, INC.

Doing Business As: RURAL HEALTH GROUP AT HENDERSON

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 34D1103607

Address:
100 W PARKVIEW DR
HENDERSON, NC
ZIP 27536
Phone: (252) 536-5791
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RURAL HEALTH GROUP, INC. is a federally qualified health center (fqhc) clinic center in Henderson, NC. RURAL HEALTH GROUP, INC. NPI is 1124269022. The provider is registered as an organization entity type.
The provider Is Doing Business As Rural Health Group At Henderson.

The provider's business location address is:

100 W PARKVIEW DR
HENDERSON, NC
ZIP 27536-923
Phone: (252) 536-5791
Fax: (252) 536-5444

The provider's authorized official is Brian O. Harris .
The authorized official title is Ceo and has the following contact phone number (252) 536-5871.

The CLIA number assigned to this NPI record is 34D1103607 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/23/2009 and was last updated on 9/10/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1344023A/CMEDICAIDNORTH CAROLINA
22580344HMEDICARE PINNORTH CAROLINA
3022H1OTHERNORTH CAROLINABCBS
4341946MEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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