| Rural Health Group, Inc. | |
|
110 Division Street Norlina NC 27563-0149 | |
| (252) 456-2009 | |
| (252) 456-2889 |
| Full Name | Rural Health Group, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 Division Street, Norlina, North Carolina |
| Authorized Official Name and Position | Brian O. Harris (CEO) |
| Authorized Official Contact | 2525365871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health Group, Inc. Po Box 640 Roanoke Rapids NC 27870-0640 Ph: (252) 536-5440 | Rural Health Group, Inc. 110 Division Street Norlina NC 27563-0149 Ph: (252) 456-2009 |
| NPI Number | 1700045820 |
|---|---|
| Provider Enumeration Date | 06/04/2008 |
| Last Update Date | 11/18/2014 |
| Medicare PECOS PAC ID | 9739090226 |
|---|---|
| Medicare Enrollment ID | O20080618000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700045820 | NPI | - | NPPES |
| 02153 | Other | NC | BLUE CROSS BLUE SHIELD |
| 344002A/C | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |