NPIMap

Organization Active NPI

Rural Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Worthington, MN
National Provider Identifier
1215317375
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
RURAL HEALTH CARE, INC
Practice address
1216 Ryans Rd Ste 3
Worthington, MN 56187-1781
Phone
(507) 372-6522
Fax
(507) 372-6523
NPI assigned
Jun 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James M. Hardwick
Title
Ceo
Phone
(605) 223-2200

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X

Addresses

Primary practice location

1216 Ryans Rd Ste 3
Worthington, MN 56187-1781

Mailing address

1216 Ryans Rd Ste 3
Worthington, MN 56187-1781
Phone (507) 372-6522

Other names 1

  • Access Health Worthington Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150622000007 MN Part A Provider - Federally Qualified Health Center (FQHC) 3476447541 Practice locations: Worthington, MN
O20150710000034 MN Part B Supplier - Clinic/Group Practice 3476447541 Receives reassigned benefits from 106 practitioners
3 other NPIs on this enrollment
Practice locations: Worthington, MN; Windom, MN; Fulda, MN; Marshall, MN

Federally qualified health center certification: CCN 241870

Legal name
RURAL HEALTH CARE INC
Doing business as
ACCESS HEALTH WORTHINGTON
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 20, 2015
Last certification
Jul 20, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1216 Ryans Rd
Ste 3
Worthington, MN 56187-1781

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

202 Island Dr
Fort Pierre, SD 57532
Phone (605) 223-9200

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Laurie Boerboom Individual Corporate OfficerBoard Member Apr 24, 2023
Donna Leslie Individual Corporate OfficerBoard Member Jul 1, 2021
Michael J Sprenger Individual Corporate OfficerBoard Vice President Jan 1, 2009
Rodney P Domke Individual Corporate OfficerBoard Treasurer Jan 1, 1999
Caleb Kemink Individual Corporate OfficerBoard Member Jan 1, 2020
Dawn M Tassler Individual Corporate OfficerBoard Secretary Jan 1, 2005
Melissa M Herr-Valberg Individual Corporate OfficerBoard Member Jan 1, 2020
Tonya L Badger Individual Corporate DirectorBoard Member Jan 1, 2012
Paul Steven Hyde Individual Corporate OfficerBoard Member Jan 1, 2006
James M Hardwick Individual Corporate OfficerCeo Jan 17, 2008
W-2 Managing EmployeeCeo Jan 17, 2008 100%
Jessica Carr Individual Corporate OfficerBoard President Oct 31, 2022

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Access Health - Fort PierreFort Pierre, SD, CCN 431840 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 10, 1988
Access Health - PreshoPresho, SD, CCN 431842 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 17, 2008
Access Health - OnidaOnida, SD, CCN 431816 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 10, 1988
Access Health - MurdoMurdo, SD, CCN 431814 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Feb 10, 1988
Jul 15, 2011
Access Health - HighmoreHighmore, SD, CCN 431815 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 10, 1988
Access Health ChamberlainChamberlain, SD, CCN 431852 Federally qualified health center 5% Or Greater Direct Ownership Interest Mar 10, 2014
Access Health KennebecKennebec, SD, CCN 431854 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 2015
Jul 1, 2015
Access Health - MitchellMitchell, SD, CCN 431855 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2019
Access Health - BrookingsBrookings, SD, CCN 431856 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2020

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 109

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 109

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1215317375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 RYANS RD STE 3",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561871781",
            "telephone_number": "507-372-6522",
            "fax_number": "507-372-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 RYANS RD STE 3",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561871781",
            "telephone_number": "507-372-6522",
            "fax_number": "507-372-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "HARDWICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-223-2200"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Health Worthington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worthington, MN

Sources for this page

Verify at the official NPI Registry.