RURAL HEALTH GROUP, INC. (NPI# 1609297852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609297852 |
| Entity Type | Organization |
| Organization Name | RURAL HEALTH GROUP, INC. |
| Other Organization Name | RURAL HEALTH GROUP AT WELDON STEM |
| Practice Address |
415 County Rd Weldon NC 27890-1753 |
| Mailing Address |
Po Box 640 Roanoke Rapids NC 27870-0640 |
| Practice Telephone | 2525364829 |
| Practice Fax Number | 2525360168 |
| Mailing Telephone | 2525365440 |
| Mailing Fax Number | 2525365444 |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2014-01-31 |
| Authorized Official Name | MR. BRIAN OTIS HARRIS (CEO) |
| Authorized Official Telephone | 2525365440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Rural Health Group at Weldon STEM | 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 |
| 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 |
| 1871081000 | Rural Health Group, Inc. | Clinic/Center | 1096 E 10th St, Roanoke Rapids, NC 27870-3052 | 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 |
415 COUNTY RD |
| City | WELDON |
| State | NC |
| Zip Code | 27890-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558631440 | Dorothy Joyner | Licensed Practical Nurse | 108 E. First St, Weldon, NC 27890 | 2012-01-09 |
| 1740455815 | Anzell Maurice Davis | Dentist | 100 Elm Street, Weldon, NC 27890 | 2008-04-29 |
| 1750567533 | Macedonia Couselling Services LLC. | Case Management | 610 Coop St., Weldon, NC 27890 | 2008-01-11 |
| 1093886954 | Maurice Davis Dds Pa | Dentist | 100 Elm St, Weldon, NC 27890 | 2006-11-13 |
| 1689777914 | Helping Hand Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 304 Washington Avenue, Weldon, NC 27890 | 2006-09-05 |
| 1720358682 | Joyce Cherry | Licensed Practical Nurse | 108 E. First St, Weldon, NC 27890 | 2012-01-10 |
| 1164476636 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 101 Caroline Avenue, Weldon, NC 27890-0432 | 2006-05-20 |
| 1376751768 | John Ray Powell Jr. | Dentist | 911 Julian Allsbrook Hwy., Weldon, NC 27890-0911 | 2007-05-18 |
| 1932696267 | Rural Health Group Inc | Clinic/Center | 100 College Dr Bldg 700, Weldon, NC 27890-1121 | 2018-04-23 |
| 1437438652 | Franklin Delano Williams Jr. | Counselor | 1 Stuart Cir, Weldon, NC 27890-1133 | 2011-08-04 |
| Find all providers in zip 27890 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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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.