Healthcare Provider Details

I. General information

NPI: 1114949120
Provider Name (Legal Business Name): RURAL HEALTH RESOURCES OF JACKSON CO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 COLUMBINE DR
HOLTON KS
66436-8824
US

IV. Provider business mailing address

1110 COLUMBINE DR
HOLTON KS
66436-8824
US

V. Phone/Fax

Practice location:
  • Phone: 785-364-2116
  • Fax: 785-364-9620
Mailing address:
  • Phone: 785-364-2116
  • Fax: 785-364-9620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MRS. CARRIE L SAIA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 785-364-2116