Provider Demographics
NPI:1518316785
Name:RURAL HEALTH GROUP, INC.
Entity Type:Organization
Organization Name:RURAL HEALTH GROUP, INC.
Other - Org Name:RHG PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-536-5929
Mailing Address - Street 1:100 DURHAM STREET
Mailing Address - Street 2:
Mailing Address - City:STOVALL
Mailing Address - State:NC
Mailing Address - Zip Code:27582
Mailing Address - Country:US
Mailing Address - Phone:252-436-6970
Mailing Address - Fax:
Practice Address - Street 1:100 DURHAM STREET
Practice Address - Street 2:
Practice Address - City:STOVALL
Practice Address - State:NC
Practice Address - Zip Code:27582
Practice Address - Country:US
Practice Address - Phone:919-690-0815
Practice Address - Fax:919-690-0788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-08
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy