| Rural Health Group At Roanoke Rapids/pediatrics | |
|
2064 Nc Highway 125 Roanoke Rapids NC 27870-9436 | |
| (252) 536-5440 | |
| (252) 536-5444 |
| Full Name | Rural Health Group At Roanoke Rapids/pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 2064 Nc Highway 125, Roanoke Rapids, North Carolina |
| Authorized Official Name and Position | Brian O. Harris (CEO) |
| Authorized Official Contact | 2525365440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health Group At Roanoke Rapids/pediatrics Po Box 640 Roanoke Rapids NC 27870-0640 Ph: (252) 536-5440 | Rural Health Group At Roanoke Rapids/pediatrics 2064 Nc Highway 125 Roanoke Rapids NC 27870-9436 Ph: (252) 536-5440 |
| NPI Number | 1255683157 |
|---|---|
| Provider Enumeration Date | 10/03/2012 |
| Last Update Date | 10/03/2012 |
| Medicare PECOS PAC ID | 9739090226 |
|---|---|
| Medicare Enrollment ID | O20121119000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255683157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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