Rural Medical Services, Inc.

Organization Active NPI Federally Qualified Health Center (FQHC) · White Pine, TN

NPI 1477424802 · NPPES record last updated Sep 17, 2025

Key facts

NPI
1477424802
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
RURAL MEDICAL SERVICES, INC.
Practice address
1210 State St
White Pine, TN 37890-3467
Phone
(865) 263-1172
NPI assigned
Sep 17, 2025
Organization subpart
No

Authorized official

Name
Amy Bradshaw
Title
Cfo
Phone
(423) 613-3300

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2332933Rural Medical Services, Inc White Pine Center
1210 State Street, White Pine, TN 37890
Provider-performed microscopyOct 27, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050914001081 TN Part B Supplier - Clinic/Group Practice 1456384080 Receives reassigned benefits from 24 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: White Pine, TN; Parrottsville, TN; Newport, TN; Jefferson City, TN; Hartford, TN; Dandridge, TN

National Provider Directory

Tax ID family
Rural Medical Services Inc (9 organizations share this tax ID)

Locations

207 Murray Dr
Newport, TN 37821
Phone (423) 613-3300

103 Wilton Springs Rd
Newport, TN 37821
Phone (423) 487-2222

1210 State St
White Pine, TN 37890
Phone (865) 263-1172

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

1210 State St
White Pine, TN 37890-3467

Mailing address

PO Box 577
Newport, TN 37822-0577
Phone (423) 613-3300

Other providers in White Pine, TN

All providers in White Pine, TN · Federally Qualified Health Center (FQHC) in Tennessee

Sources for this page

Verify at the official NPI Registry.