Rural Health Services, Inc.
Organization Active NPI Dental Clinic/Center · Clearwater, SC
NPI 1609937515 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1609937515
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 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
- Organization subpart
- No
Authorized official
- Name
- Dr. James L. Coleman Jr.
- Title
- Ceo
- Phone
- (803) 593-9283
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Rural Health Services Inc
Locations
4645 Augusta Rd
Clearwater, SC 29842
Phone (803) 380-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166100 | Medicaid | SC |
Other names
- Margaret J. Weston Dental
Other providers in Clearwater, SC
All providers in Clearwater, SC · Dental Clinic/Center in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.