Active NPI
Twin County Rural Health Center, Inc.
Doing business as Rural Health Group - Dental
- Federally Qualified Health Center (FQHC)
- Roanoke Rapids, NC
National Provider Identifier
1215027826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- TWIN COUNTY RURAL HEALTH CENTER, INC.
- Doing business as
- Rural Health Group - Dental
- Practice address
- 2064 Hwy 125
Roanoke Rapids, NC 27870 - Phone
- (252) 536-5880
- Fax
- (252) 536-2708
- NPI assigned
- Oct 13, 2006
- Last updated
- Dec 7, 2010
- 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
- Ms. Judy Belch Beasley, CHCS
- Title
- Corporate Compliance Officer
- Phone
- (252) 536-5791
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
2064 Hwy 125
Roanoke Rapids, NC 27870
Mailing address
PO Box 640
Roanoke Rapids, NC 27870-0640
Phone (252) 536-5880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 344565D | Medicaid | NC | |
| 03054 | Other | NC | BCBS OF NORTH CAROLINA |
Other names 1
- Rural Health Group - Dental
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Roanoke Rapids, NC
- NPI 1376879726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291680000000",
"number": "1215027826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 640",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278700640",
"telephone_number": "252-536-5880",
"fax_number": "252-536-2708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2064 HWY 125",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "27870",
"telephone_number": "252-536-5880",
"fax_number": "252-536-2708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWIN COUNTY RURAL HEALTH CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-13",
"last_updated": "2010-12-07",
"status": "A",
"authorized_official_last_name": "BEASLEY",
"authorized_official_first_name": "JUDY",
"authorized_official_middle_name": "BELCH",
"authorized_official_title_or_position": "CORPORATE COMPLIANCE OFFICER",
"authorized_official_telephone_number": "252-536-5791",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CHCS"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "344565D",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NORTH CAROLINA",
"identifier": "03054",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rural Health Group - Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roanoke Rapids, NC
- Triumph LLC
- Triumph LLC
- Trusted Path Medical Transport LLC
- Michael D Turner, PTA
- Twin City Cardiology Associates, P.a.
- Universal Mental Health Services, Inc.
- Unlimited Health Services
- Urgent Cares of America North Carolina Inc (FastMed Urgent Care of Roanoke Rapids)
- Valley Center for Life
- Valley Center for Life Enrichment, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.