Provider Demographics
NPI:1780434662
Name:RURAL HEALTH GROUP INC
Entity type:Organization
Organization Name:RURAL HEALTH GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:252-536-5885
Mailing Address - Street 1:204 EVANS ROAD
Mailing Address - Street 2:PO BOX 10
Mailing Address - City:HOLLISTER
Mailing Address - State:NC
Mailing Address - Zip Code:27844
Mailing Address - Country:US
Mailing Address - Phone:252-536-5885
Mailing Address - Fax:
Practice Address - Street 1:114 MARKET ST
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:NC
Practice Address - Zip Code:27823-1423
Practice Address - Country:US
Practice Address - Phone:252-536-5793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy