Organization
RURAL HEALTH GROUP, INC.
Active
Organization
RURAL HEALTH GROUP, INC.
Active
Other names
Rural Health Group at Lake Gaston
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY BELCH BEASLEY (CORPORATE COMPLIANCE OFFICER)
(252) 536-5791
Entity
Organization
Contact information
Practice address
108 MOSBY AVE, LITTLETON, NC 27850-9411
(252) 586-5151
(252) 586-2028
Mailing address
2064 HWY 125, P.O. BOX 640, ROANOKE RAPIDS, NC 27870-0640
(252) 536-5791
(252) 536-5444
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02153
BCBS OF NORTH CAROLINA
NC
05
—
344525
—
NC
Enumeration date
05/16/2006
Last updated
08/22/2020
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