| Organization Name: | RURAL HEALTH RESOURCES OF JACKSON COUNTY |
| NPI Number: | 1962436626 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONALD WAYNE MARSHALL (CHIEF EXECUTIVE OFFICER INTERIM) |
| Mailing Address: | 1110 Columbine Dr Holton |
| State: | KS US |
| Postal Code: | 664368824 |
| Phone Number: | 7853642116 |
| Fax Number: | 7853649620 |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 03/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | H-043-001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |