| Rural Health Resources Of Jackson Co Inc | |
|
1110 Columbine Dr Ste 100 Holton KS 66436-8824 | |
| (785) 364-2126 | |
| (785) 364-2801 |
| Full Name | Rural Health Resources Of Jackson Co Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1110 Columbine Dr Ste 100, Holton, Kansas |
| Authorized Official Name and Position | Carrie L Saia (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7853642116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health Resources Of Jackson Co Inc 1110 Columbine Dr Ste 100 Holton KS 66436-8824 Ph: (785) 364-2126 | Rural Health Resources Of Jackson Co Inc 1110 Columbine Dr Ste 100 Holton KS 66436-8824 Ph: (785) 364-2126 |
| NPI Number | 1639145204 |
|---|---|
| Provider Enumeration Date | 02/24/2006 |
| Last Update Date | 11/06/2023 |
| Medicare PECOS PAC ID | 7810807690 |
|---|---|
| Medicare Enrollment ID | O20030505000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639145204 | NPI | - | NPPES |
| 100244350E | Medicaid | KS | |
| 100244350B | Medicaid | KS | |
| 110707 | Other | KS | BLUE CORSS GROUP PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kansas) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | H-043-001 (Kansas) | Primary |
Rural Health Resources Of Jackson Co Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 E 4th St, Holton, KS 66436 Phone: 785-364-2126 Fax: 785-364-2126 | |
Community Healthcare System, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1603 W 4th St, Holton, KS 66436 Phone: 785-364-3205 Fax: 785-364-3468 |