Organization Name: | RURAL HEALTH GROUP, INC. |
NPI Number: | 1053742056 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN OTIS HARRIS (CEO) |
Mailing Address: | 320 Pleasant Hill Rd Gaston |
State: | NC US |
Postal Code: | 278329511 |
Phone Number: | 2523080577 |
Fax Number: | 2523081864 |
NPI Enumeration Date: | 12/02/2013 |
NPI Last Update Date: | 12/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |