Provider Demographics
NPI:1326147380
Name:RURAL HEALTH RESOURCES OF JACKSON CO INC
Entity Type:Organization
Organization Name:RURAL HEALTH RESOURCES OF JACKSON CO INC
Other - Org Name:HOYT FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-364-2116
Mailing Address - Street 1:1110 COLUMBINE DR STE 100
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:785-364-9612
Practice Address - Street 1:117 W 3RD ST
Practice Address - Street 2:
Practice Address - City:HOYT
Practice Address - State:KS
Practice Address - Zip Code:66440-9671
Practice Address - Country:US
Practice Address - Phone:785-986-6630
Practice Address - Fax:785-986-6604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH-043-001261QR1300X, 261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100244350IMedicaid
KS111402OtherBLUE SHIELD PROVIDER NUMBER
KS178523Medicare Oscar/Certification