NPIMap

Organization Active NPI

Rural Health Services, Inc.

  • Dental Clinic/Center
  • Clearwater, SC
National Provider Identifier
1609937515
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RURAL HEALTH SERVICES, INC.
Practice address
4645 Augusta Road
Clearwater, SC 29822
Phone
(803) 593-9283
Fax
(803) 593-0607
NPI assigned
Dec 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James L. Coleman Jr.
Title
Ceo
Phone
(803) 593-9283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4645 Augusta Road
Clearwater, SC 29822

Mailing address

PO Box 277
Clearwater, SC 29822-0277
Phone (803) 593-9283

Other identifiers 1

IdentifierTypeStateIssuer
166100MedicaidSC

Other names 1

  • Margaret J. Weston Dental Other name

National Provider Directory

National Provider Directory
Tax ID family
Rural Health Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609937515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "CLEARWATER",
            "state": "SC",
            "postal_code": "298220277",
            "telephone_number": "803-593-9283",
            "fax_number": "803-593-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 AUGUSTA ROAD",
            "city": "CLEARWATER",
            "state": "SC",
            "postal_code": "29822",
            "telephone_number": "803-593-9283",
            "fax_number": "803-593-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-593-9283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166100",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Margaret J. Weston Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clearwater, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.