Healthcare Provider Details

I. General information

NPI: 1720076441
Provider Name (Legal Business Name): RURAL HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 04/24/2023
Certification Date: 04/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 GARFIELD AVE
MURDO SD
57559
US

IV. Provider business mailing address

202 ISLAND DR STE 1
FORT PIERRE SD
57532-7303
US

V. Phone/Fax

Practice location:
  • Phone: 605-669-2121
  • Fax: 605-669-3301
Mailing address:
  • Phone: 605-669-2121
  • Fax: 605-669-3301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: JAMES M HARDWICK
Title or Position: CEO
Credential:
Phone: 605-223-2200