Organization
RURAL MEDICAL SERVICES, INC.
Active
Other names
Grassy Fork Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY A STANIFER (CEO)
(865) 509-0055
Entity
Organization
Contact information
Practice address
4261 BIG CREEK RD, HARTFORD, TN 37753-2220
(423) 487-2249
(423) 487-3707
Mailing address
4261 BIG CREEK RD, HARTFORD, TN 37753-2220
(423) 487-2249
(423) 487-3707
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0441858
—
TN
Enumeration date
06/15/2006
Last updated
01/28/2008
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