Healthcare Provider Details

I. General information

NPI: 1003152430
Provider Name (Legal Business Name): RURAL HEALTH RESOURCES OF JACKSON CO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2012
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 2ND ST
WETMORE KS
66550-9618
US

IV. Provider business mailing address

1110 COLUMBINE DR STE 100
HOLTON KS
66436-8824
US

V. Phone/Fax

Practice location:
  • Phone: 785-866-4775
  • Fax: 785-866-4204
Mailing address:
  • Phone: 785-364-2126
  • Fax: 785-364-2801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

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