Provider Demographics
NPI:1982666384
Name:RURAL HEALTH, INC.
Entity Type:Organization
Organization Name:RURAL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:FLAMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-833-4471
Mailing Address - Street 1:513 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:IL
Mailing Address - Zip Code:62906-1668
Mailing Address - Country:US
Mailing Address - Phone:618-833-4471
Mailing Address - Fax:618-833-8878
Practice Address - Street 1:513 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:IL
Practice Address - Zip Code:62906-1668
Practice Address - Country:US
Practice Address - Phone:618-833-4471
Practice Address - Fax:618-833-8878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-03
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL055761OtherHEALTH ALLIANCE
ILL1001082OtherTRICARE
IL111760OtherHEALTHLINK
IL9115000OtherBCBS ANNA
ILL1001082OtherCHAMPVA
IL111760OtherHEALTHLINK
ILL1001082OtherCHAMPVA
IL9115000OtherBCBS ANNA
IL055761OtherHEALTH ALLIANCE
ILL1001082OtherCHAMPVA