Provider Demographics
NPI:1992793616
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:M
Authorized Official - Last Name:HARDWICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-223-2200
Mailing Address - Street 1:202 ISLAND DR STE 1
Mailing Address - Street 2:
Mailing Address - City:FORT PIERRE
Mailing Address - State:SD
Mailing Address - Zip Code:57532-7303
Mailing Address - Country:US
Mailing Address - Phone:605-258-2635
Mailing Address - Fax:605-258-2499
Practice Address - Street 1:303 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ONIDA
Practice Address - State:SD
Practice Address - Zip Code:57564-2160
Practice Address - Country:US
Practice Address - Phone:605-258-2635
Practice Address - Fax:605-258-2499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-06
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0000054OtherBCBS GROUP PROVIDER NUMBE
SD5350140Medicaid
SD5350140Medicaid
SDS54Medicare ID - Type UnspecifiedMEDICARE PART B GROUP NUM