Provider Demographics
NPI:1235709023
Name:RURAL HEALTH RESOURCES OF JACKSON CO INC
Entity Type:Organization
Organization Name:RURAL HEALTH RESOURCES OF JACKSON CO INC
Other - Org Name:HOLTON FAMILY MEDICINE - JOHNSONVILLE PLANT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BART
Authorized Official - Middle Name:
Authorized Official - Last Name:KENTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-364-9636
Mailing Address - Street 1:1110 COLUMBINE DR
Mailing Address - Street 2:
Mailing Address - City:HOLTON
Mailing Address - State:KS
Mailing Address - Zip Code:66436-8824
Mailing Address - Country:US
Mailing Address - Phone:785-364-2116
Mailing Address - Fax:785-364-9620
Practice Address - Street 1:619 E 4TH ST
Practice Address - Street 2:
Practice Address - City:HOLTON
Practice Address - State:KS
Practice Address - Zip Code:66436-2101
Practice Address - Country:US
Practice Address - Phone:785-364-2126
Practice Address - Fax:785-364-2126
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RURAL HEALTH RESOURCES OF JACKSON CO INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-25
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center