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General NPI Number Information
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NPI Number | 1235238296
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Entity Type | Organization
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Legal Business Name | RURAL HEALTH RESOURCES OF JACKSON CO INC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 1110 COLUMBINE DR
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City | HOLTON
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State | KS
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Zip | 66436-8824
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Country | US
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Telephone | 785-634-2116
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Fax | 785-364-9620
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Provider Business Mailing Address
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Address Line | 1110 COLUMBINE DR
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City | HOLTON
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State | KS
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Zip | 66436-8824
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Country | US
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Telephone | 785-634-2116
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Fax | 785-364-9620
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. CARRIE L SAIA
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Credential |
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Telephone | 785-364-2116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | H-043-001
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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