Provider Demographics
NPI:1902657307
Name:RURAL HEALTHCARE SOLUTIONS
Entity type:Organization
Organization Name:RURAL HEALTHCARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:D
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-984-7174
Mailing Address - Street 1:601 VISTA LN
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-6365
Mailing Address - Country:US
Mailing Address - Phone:405-984-7174
Mailing Address - Fax:405-920-3315
Practice Address - Street 1:601 VISTA LN
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-6365
Practice Address - Country:US
Practice Address - Phone:405-984-7174
Practice Address - Fax:405-920-3315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies