Organization
RURAL HEALTH GROUP, INC.
Active
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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