Organization Name: | RURAL HEALTH RESOURCES OF JACKSON CO INC |
NPI Number: | 1639145204 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARRIE L SAIA (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 1100 Columbine Dr Holton |
State: | KS US |
Postal Code: | 664368824 |
Phone Number: | 7853642126 |
Fax Number: | 7853642801 |
NPI Enumeration Date: | 02/24/2006 |
NPI Last Update Date: | 01/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | H-043-001 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |