Provider Demographics
NPI:1669473823
Name:JRK SERVICES, INC
Entity Type:Organization
Organization Name:JRK SERVICES, INC
Other - Org Name:INTERIM HEALTHCARE OF RAPID CITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-348-5885
Mailing Address - Street 1:725 INDIANA ST
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-5858
Mailing Address - Country:US
Mailing Address - Phone:605-348-5885
Mailing Address - Fax:605-348-8262
Practice Address - Street 1:725 INDIANA ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-5858
Practice Address - Country:US
Practice Address - Phone:605-348-5885
Practice Address - Fax:605-348-8262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD437047Medicare ID - Type UnspecifiedMEDICARE LEGACY NUMBER