Organization
RURAL HEALTH GROUP, INC.
Active
Other names
Rural Health Group at Norlina
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN O. HARRIS (CEO)
(252) 536-5871
Entity
Organization
Contact information
Practice address
110 DIVISION STREET, NORLINA, NC 27563-0149
(252) 456-2009
(252) 456-2889
Mailing address
PO BOX 640, ROANOKE RAPIDS, NC 27870-0640
(252) 536-5440
(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
BLUE CROSS BLUE SHIELD
NC
05
—
344002A/C
—
NC
Enumeration date
06/04/2008
Last updated
11/18/2014
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