Provider Demographics
NPI:1366136665
Name:RURAL HEALTH NETWORK INC.
Entity type:Organization
Organization Name:RURAL HEALTH NETWORK INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:KYLE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:209-862-3604
Mailing Address - Street 1:1349 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEWMAN
Mailing Address - State:CA
Mailing Address - Zip Code:95360-1326
Mailing Address - Country:US
Mailing Address - Phone:209-862-3604
Mailing Address - Fax:
Practice Address - Street 1:1349 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWMAN
Practice Address - State:CA
Practice Address - Zip Code:95360-1326
Practice Address - Country:US
Practice Address - Phone:209-862-3604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health