| Rural Health Group At Rich Square | |
|
200 South Main Street Rich Square NC 27869 | |
| (252) 539-2082 | |
| (252) 539-2898 |
| Full Name | Rural Health Group At Rich Square |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 South Main Street, Rich Square, North Carolina |
| Authorized Official Name and Position | Judy Belch Beasley (CORPORATE COMPLIANCE OFFICER) |
| Authorized Official Contact | 2525365791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health Group At Rich Square Po Box 640 Roanoke Rapids NC 27870-0640 Ph: (252) 536-5791 | Rural Health Group At Rich Square 200 South Main Street Rich Square NC 27869 Ph: (252) 539-2082 |
| NPI Number | 1962454447 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9739090226 |
|---|---|
| Medicare Enrollment ID | O20101015000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962454447 | NPI | - | NPPES |
| 344524 | Medicaid | NC | |
| 01164 | Other | NC | BCBS OF NORTH CAROLINA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |