Provider Demographics
NPI:1194770297
Name:RURAL MEDICAL SERVICES INC
Entity type:Organization
Organization Name:RURAL MEDICAL SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SNODGRASS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:620-397-5280
Mailing Address - Street 1:200 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DIGHTON
Mailing Address - State:KS
Mailing Address - Zip Code:67839-0760
Mailing Address - Country:US
Mailing Address - Phone:620-397-5280
Mailing Address - Fax:620-397-5275
Practice Address - Street 1:200 N MAIN ST
Practice Address - Street 2:
Practice Address - City:DIGHTON
Practice Address - State:KS
Practice Address - Zip Code:67839-0760
Practice Address - Country:US
Practice Address - Phone:620-397-5280
Practice Address - Fax:620-397-5275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100291020BMedicaid
KS100291020BMedicaid