Provider Demographics
NPI:1740669381
Name:RURAL HEALTH CARE, INC
Entity type:Organization
Organization Name:RURAL HEALTH CARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDWICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-223-2200
Mailing Address - Street 1:120 SOUTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:KENNEBEC
Mailing Address - State:SD
Mailing Address - Zip Code:57544-0176
Mailing Address - Country:US
Mailing Address - Phone:058-692-8726
Mailing Address - Fax:605-869-2873
Practice Address - Street 1:120 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:KENNEBEC
Practice Address - State:SD
Practice Address - Zip Code:57544
Practice Address - Country:US
Practice Address - Phone:605-869-2872
Practice Address - Fax:605-869-2873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-28
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)