Provider Demographics
NPI:1801045380
Name:RURAL MEDICAL SERVICES, INC.
Entity type:Organization
Organization Name:RURAL MEDICAL SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:STANIFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-509-0055
Mailing Address - Street 1:207 MURRAY DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37821-3631
Mailing Address - Country:US
Mailing Address - Phone:423-613-1360
Mailing Address - Fax:423-613-1361
Practice Address - Street 1:207 MURRAY DR
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:TN
Practice Address - Zip Code:37821-3631
Practice Address - Country:US
Practice Address - Phone:423-613-1360
Practice Address - Fax:423-613-1361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)