Organization Name: | RURAL MEDICAL SERVICES, INC. |
NPI Number: | 1871535583 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY A STANIFER (CEO) |
Mailing Address: | 3222 Chestnut Hill School Rd Dandridge |
State: | TN US |
Postal Code: | 377257238 |
Phone Number: | 8655096611 |
Fax Number: | 8655098811 |
NPI Enumeration Date: | 06/10/2006 |
NPI Last Update Date: | 07/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |