RURAL HEALTH GROUP, INC. (NPI# 1124269022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124269022 |
| Entity Type | Organization |
| Organization Name | RURAL HEALTH GROUP, INC. |
| Other Organization Name | RURAL HEALTH GROUP AT HENDERSON |
| Practice Address |
100 W Parkview Dr Henderson NC 27536-5923 |
| Mailing Address |
Po Box 640 Roanoke Rapids NC 27870-0640 |
| Practice Telephone | 2525365791 |
| Practice Fax Number | 2525365444 |
| Mailing Telephone | 2525365791 |
| Mailing Fax Number | 2525365444 |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2012-09-10 |
| Authorized Official Name | MR. BRIAN O. HARRIS (CEO) |
| Authorized Official Telephone | 2525365871 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 022H1 | 01 |
| NC | 344023A/C | 05 |
| Other Name | Type Code |
|---|---|
| Rural Health Group at Henderson | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558779728 | Rural Health Group, Inc. | Clinic/Center | 9742 Nc Highway 305, Jackson, NC 27845-9799 | 2014-07-31 |
| 1033527395 | Rural Health Group, Inc. | Clinic/Center | 479 Willis Hare Rd, Pendleton, NC 27862-7033 | 2014-07-30 |
| 1609297852 | Rural Health Group, Inc. | Clinic/Center | 415 County Rd, Weldon, NC 27890-1753 | 2013-12-13 |
| 1700217056 | Rural Health Group, Inc. | Clinic/Center | 4489 Us Highway 301, Halifax, NC 27839-9510 | 2013-12-11 |
| 1013157171 | Rural Health Group, Inc. | Clinic/Center | 106 Se Railroad Street, Whitakers, NC 27891-8897 | 2009-03-03 |
| 1700045820 | Rural Health Group, Inc. | Clinic/Center | 110 Division Street, Norlina, NC 27563-0149 | 2008-06-04 |
| 1598893547 | Rural Health Group, Inc. | Clinic/Center | 9409 Nc Hwy 305, Jackson, NC 27845-0594 | 2007-03-01 |
| 1720030232 | Rural Health Group, Inc. | Clinic/Center | 2066 Hwy 125, Roanoke Rapids, NC 27870 | 2006-05-16 |
| 1689626178 | Rural Health Group, Inc. | Clinic/Center | 9425 Nc 305 Hwy, Jackson, NC 27845 | 2006-05-16 |
| 1598253734 | Rural Health Group, Inc. | Clinic/Center | 270 Smith Church Rd, Roanoke Rapids, NC 27870-4914 | 2018-04-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RURAL HEALTH GROUP, INC. | 500 Jackson St, Roanoke Rapids, NC 27870-2602 |
| Street Address |
100 W PARKVIEW DR |
| City | HENDERSON |
| State | NC |
| Zip Code | 27536-5923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922035302 | James Howard Perry | Family Medicine | 100 W Parkview Dr, Henderson, NC 27536-5923 | 2006-06-28 |
| 1396302105 | Philip James Hinman | Social Worker | 100 W Parkview Dr, Henderson, NC 27536-5923 | 2019-05-28 |
| 1346711009 | Erin Bristow | Nurse Practitioner | 100 W Parkview Dr, Henderson, NC 27536-5923 | 2018-12-06 |
| 1255863254 | Laura Ucik | Family Medicine | 100 W Parkview Dr, Henderson, NC 27536-5923 | 2017-03-29 |
| 1942660626 | Hallie Rachel Murchison | Physician Assistant | 100 W Parkview Dr, Henderson, NC 27536-5923 | 2016-02-24 |
| 1538542782 | Charla Leigh Rose | Dentist | 100 W Parkview Dr, Henderson, NC 27536-5923 | 2015-07-07 |
| 1417366188 | Becky Lynn D'agostino | Nurse Practitioner | 100 W Parkview Dr, Henderson, NC 27536 | 2014-08-07 |
| 1457608382 | Karen Wood Highlander | Nurse Practitioner | 100 W Parkview Dr, Henderson, NC 27536-5923 | 2012-08-09 |
| 1205146586 | Kay Belk Suh | Nurse Practitioner | 100 W Parkview Dr, Henderson, NC 27536-5923 | 2010-10-20 |
| 1891933453 | Alison Dawn Bartel | Internal Medicine | 100 W Parkview Dr, Henderson, NC 27536-5923 | 2009-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
| 1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
| 1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
| 1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
| 1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
| 1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
| 1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
| 1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
| 1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
| Find all providers in zip 27536 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1366637969 | Hardeman County Community Health Center | Clinic/Center | 1132 Industrial Dr, Henderson, TN 38340-1310 | 2007-09-07 |
| 1811496607 | Nevada Health Centers Inc | Clinic/Center | 400 Palo Verde Dr, Henderson, NV 89015-6028 | 2018-02-07 |
| 1063891182 | Nevada Health Centers Inc | Clinic/Center | 98 E Lake Mead Pkwy, Suite 103, Henderson, NV 89015-5540 | 2015-05-21 |
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| 1366088957 | Gaston Family Health Services, Inc. | Clinic/Center | 497 Farmington Rd, Mocksville, NC 27028-7639 | 2019-11-19 |
| 1285270868 | Gaston Family Health Services, Inc. | Clinic/Center | 160 Martin Luther King Junior Rd, Mocksville, NC 27028 | 2019-11-19 |
| 1306481957 | Gaston Family Health Services, Inc. | Clinic/Center | 3407 Plateau Rd, Newton, NC 28658-8809 | 2019-11-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.