Provider Demographics
NPI:1902166242
Name:RURAL HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:RURAL HEALTH SERVICES, INC.
Other - Org Name:ABA OBSTETRICS AND GYNECOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:EMANUEL-MCCLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:803-593-9283
Mailing Address - Street 1:80 PHYSICIAN DR
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-6388
Mailing Address - Country:US
Mailing Address - Phone:803-649-4117
Mailing Address - Fax:803-593-0607
Practice Address - Street 1:80 PHYSICIAN DR
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-6388
Practice Address - Country:US
Practice Address - Phone:803-649-4117
Practice Address - Fax:803-593-0607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)