Active NPI
Rural Health Services, Inc.
- Dental Clinic/Center
- Aiken, SC
National Provider Identifier
1053852525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- RURAL HEALTH SERVICES, INC.
- Practice address
- 1000 Clyburn Place
Aiken, SC 29801-4193 - Phone
- (803) 380-7000
- Fax
- (803) 502-8491
- NPI assigned
- Mar 16, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark C. Hedman
- Title
- Authorized Official
- Phone
- (803) 380-7001
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | SC | ||
| Dental Clinic/Center | 261QD0000X | Primary | ||
| Federally Qualified Health Center (FQHC) | 261QF0400X | SC | ||
| Federally Qualified Health Center (FQHC) | 261QF0400X |
Addresses
Primary practice location
1000 Clyburn Place
Aiken, SC 29801-4193
Mailing address
1000 Clyburn Place
Aiken, SC 29801-4193
Phone (803) 380-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZA6090 | Medicaid | SC | |
| ZA9060 | Medicaid | SC |
Other names 1
- Rural Health Dental Services
National Provider Directory
National Provider Directory- Tax ID family
- Rural Health Services Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Beech Island, SC
- NPI 1235290149
-
- Community/Retail Pharmacy
- Aiken, SC
- NPI 1477110047
-
- Community/Retail Pharmacy
- Aiken, SC
- NPI 1477950632
-
- Dental Clinic/Center
- Clearwater, SC
- NPI 1609937515
-
- Federally Qualified Health Center (FQHC)
- Aiken, SC
- NPI 1992511398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1053852525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CLYBURN PLACE",
"city": "AIKEN",
"state": "SC",
"postal_code": "298014193",
"telephone_number": "803-380-7000",
"fax_number": "803-502-4248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CLYBURN PLACE",
"city": "AIKEN",
"state": "SC",
"postal_code": "298014193",
"telephone_number": "803-380-7000",
"fax_number": "803-502-8491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RURAL HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-16",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "HEDMAN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "803-380-7001"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "SC",
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "SC",
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZA6090",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZA9060",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rural Health Dental Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.