RURAL HEALTH, INC. (NPI# 1932263332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932263332 |
Entity Type | Organization |
Organization Name | RURAL HEALTH, INC. |
Other Organization Name | VIENNA MEDICAL CLINIC |
Practice Address |
803 N 1st St Vienna IL 62995 |
Mailing Address |
513 N Main St Anna IL 62906-1668 |
Practice Telephone | 6186582811 |
Practice Fax Number | 6186582439 |
Mailing Telephone | 6188334471 |
Mailing Fax Number | 6188338878 |
Enumeration Date | 2006-12-20 |
Last Update Date | 2018-09-05 |
Authorized Official Name | MS. CYNTHIA K FLAMM (CEO) |
Authorized Official Telephone | 6188334471 |
Authorized Official Credential | LCSW |
Is Organization Subpart | Y |
Parent Organization Name | RURAL HEALTH, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | HEALTH ALLIANCE | 055761 | 01 |
IL | BLUE CROSS BLUE SHIELD | 9115004 | 01 |
IL | HEALTHLINK | 111760 | 01 |
Other Name | Type Code |
---|---|
Vienna Medical Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750836490 | Rural Health, Inc. | Clinic/Center | 1003 E 5th St, Metropolis, IL 62960-2311 | 2016-08-23 |
1366506628 | Rural Health, Inc. | Clinic/Center | 318 N Us Highway 51, Dongola, IL 62926 | 2006-12-21 |
1063996973 | Rural Health, Inc. | Clinic/Center | 513 N Main St, Anna, IL 62906-1668 | 2018-09-18 |
1962763045 | Rural Health, Inc. | Clinic/Center | 400 S Broadway, Goreville, IL 62939-2444 | 2012-06-05 |
1043497548 | Rural Health, Inc. | Clinic/Center | 608 S Main St, Anna, IL 62906-1247 | 2008-01-28 |
1982666384 | Rural Health, Inc. | Clinic/Center | 513 N Main St, Anna, IL 62906-1668 | 2006-04-03 |
Street Address |
803 N 1ST ST |
City | VIENNA |
State | IL |
Zip Code | 62995 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972687051 | Dena C Taylor | Nurse Practitioner | 803 N 1st St, Vienna, IL 62995-1544 | 2006-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538663463 | Gregory M Blakely | Physical Therapist | 811 North 1st Street, Vienna, IL 62995 | 2018-03-23 |
1194101196 | Ashley Laws | Counselor | 408 E. Vine, Vienna, IL 62995 | 2015-08-03 |
1477981421 | Amanda Endrizzi | Physician Assistant | 803 North 1st Street, Vienna, IL 62995 | 2013-10-29 |
1780831453 | Family Counseling Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 904 Vine Street, Vienna, IL 62995 | 2008-08-25 |
1528215290 | Family Counseling Center, Inc. | Clinic/Center | 406 East Vine Street, Vienna, IL 62995 | 2008-08-25 |
1770676207 | Martha Jane Crawford | Social Worker | 408 E Vine, Vienna, IL 62995 | 2006-10-02 |
1235147216 | Rachel Ann Edmonds | Physical Therapist | 811 N 1st Street, Vienna, IL 62995 | 2006-08-04 |
1376572552 | Bode Drug Inc | Pharmacy | 803 and One Half N First St, Vienna, IL 62995 | 2006-07-01 |
1578557476 | Roger Franklin High | Chiropractor | 122 N 4th St, Vienna, IL 62995 | 2005-09-07 |
1124036165 | Kimberly Dawn Ecker | Physical Therapist | 811 N 1st Street, Vienna, IL 62995 | 2006-08-04 |
Find all providers in zip 62995 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
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Find all providers with the same taxonomy |
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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.