Rural Health Solutions PA
Organization Active NPI Rural Health Clinic/Center · Taft, TX
NPI 1891739223 · NPPES record last updated Aug 15, 2022
Key facts
- NPI
- 1891739223
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- J2176 (TX)
- Legal business name
- RURAL HEALTH SOLUTIONS PA
- Practice address
- 1210 Gregory
Suite # 2
Taft, TX 78390-3045 - Phone
- (361) 528-2595
- Fax
- (361) 528-3452
- NPI assigned
- Jun 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Ellis G Main, DO
- Title
- Physician - Owner
- Phone
- (361) 387-9233
Corporate family (same tax ID) 6
Practitioners 2
-
Ellis Gerard Main, D.O.
-
Stephen R Torok, PA
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0678222 | Rural Health Solutions PA | Provider-performed microscopy | Aug 31, 2026 |
National Provider Directory
- Tax ID family
- Rural Health Solutions PA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Rural Health Clinic/Center | 261QR1300X | J2176 | TX | Yes |
Addresses
Primary practice location
1210 Gregory
Suite # 2
Taft, TX 78390-3045
Mailing address
PO Box 10426
Corpus Christi, TX 78460-0426
Phone (361) 241-6700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161238401 | Medicaid | TX | |
| 137311014 | Medicaid | TX | |
| 161238402 | Medicaid | TX |
Other names
- Taft Family Health Clinic
Other providers in Taft, TX
- Jose Benamu M.D. P.a.
- Charles Douglas Kolb
- Jonathan Charles Kolb
- Rachael Marie Loudon-Castillo
- Kim A. Polasek
- Shoreline, Inc.
- Smith Physical Therapy & Wellness, P.C.
- Kobi Smith
- Leann Kolb Snody
- South Padre Island Pediatric Center PA
All providers in Taft, TX · Rural Health Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.