| Rural Health Services, Inc. | |
|
4645 Augusta Road Clearwater SC 29822 | |
| (803) 593-9283 | |
| (803) 593-0607 |
| Full Name | Rural Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4645 Augusta Road, Clearwater, South Carolina |
| Authorized Official Name and Position | James L. Coleman (CEO) |
| Authorized Official Contact | 8035939283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health Services, Inc. Po Box 277 Clearwater SC 29822-0277 Ph: (803) 593-9283 | Rural Health Services, Inc. 4645 Augusta Road Clearwater SC 29822 Ph: (803) 593-9283 |
| NPI Number | 1609937515 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609937515 | NPI | - | NPPES |
| 166100 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |