| Rural Health Group At Jackson | |
|
9425 Nc 305 Hwy Jackson NC 27845 | |
| (252) 534-1661 | |
| (252) 534-2841 |
| Full Name | Rural Health Group At Jackson |
|---|---|
| Speciality | Clinic/Center |
| Location | 9425 Nc 305 Hwy, Jackson, North Carolina |
| Authorized Official Name and Position | Judy Belch Beasley (CORPORATE COMPLIANCE OFFICER) |
| Authorized Official Contact | 2525365791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health Group At Jackson Po Box 640 Roanoke Rapids NC 27870-0640 Ph: (252) 536-5791 | Rural Health Group At Jackson 9425 Nc 305 Hwy Jackson NC 27845 Ph: (252) 534-1661 |
| NPI Number | 1689626178 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9739090226 |
|---|---|
| Medicare Enrollment ID | O20031009000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689626178 | NPI | - | NPPES |
| 02547 | Other | NC | BCBS OF NORTH CAROLINA |
| 344592 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Rural Health Group At Jackson/dental Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9409 Nc Highway 305, Jackson, NC 27845 Phone: 252-536-5920 Fax: 252-534-2041 |