Rural Health Resources of Jackson Co Inc
Organization Active NPI Multi-Specialty Clinic/Center · Holton, KS
NPI 1235238296 · NPPES record last updated Nov 6, 2023
Key facts
- NPI
- 1235238296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- RURAL HEALTH RESOURCES OF JACKSON CO INC
- Practice address
- 1110 Columbine Dr
Holton, KS 66436-8824 - Phone
- (785) 634-2116
- Fax
- (785) 364-9620
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Carrie L Saia
- Title
- Chief Executive Officer
- Phone
- (785) 364-2116
Owned or controlled facilities with NPI records 7
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 7
Practitioners 62
-
Heather Regann Aranda, APRN
-
Samuel V Bruna, MD
-
Clint M Colberg, MD
-
Jill S Collins, APRN
-
Kristen Dinkel, APRN
-
Lisa M Dinkel, APRN
-
Denis Jimenez, M.D.
-
Kristen Joy Manning, APRN
-
Janae D Nilges, APRN-C
-
Ashley T Reinecke, APRN
-
Lee R Schnee, MD
-
Erin L Schwartz, APRN
-
Jennifer Jo Warren, APRN
-
Kaylie D'Ann Zimmerman, APRN-MSN
-
Travis James Brown, FNP-C
-
Darlene R Hirst, PA
-
Dallas W Dooley, APRN-C
-
Jamie Mulanax Jacobsen, D.O.
-
Malia SM Warner, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
All facility ownership & control disclosures 7
| Facility | Type | Role | Since |
|---|---|---|---|
| Holton Community Hospital |
Hospital | Operational/Managerial Control | Apr 17, 1997 |
| Holton Community Hospital |
Hospital | Operational/Managerial Control | Sep 26, 2012 |
| Holton Community Hospital Home Health and Hospice Agency |
Home health agency | Operational/Managerial Control (100%) | Apr 17, 1997 |
| Rural Health Resources of Jackson Co Inc |
Hospice | Operational/Managerial Control (100%) | Apr 17, 1997 |
| Holton Family Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Nov 3, 2003 |
| Hoyt Family Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 17, 1997 Apr 17, 1997 |
| Wetmore Family Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2013 Jan 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000573 | KS | Part B Supplier - Clinic/Group Practice | 7810807690 |
Receives reassigned benefits from 55 practitioners 1 other NPI on this enrollment Practice locations: Holton, KS |
National Provider Directory
Locations
1110 Columbine Dr
Holton, KS 66436
Phone (785) 364-2126
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes | ||
| Critical Access Hospital | 282NC0060X | H-043-001 | KS |
Addresses
Primary practice location
1110 Columbine Dr
Holton, KS 66436-8824
Mailing address
1110 Columbine Dr
Holton, KS 66436-8824
Phone (785) 634-2116
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30003955540001 | Medicaid | KS | |
| 100244350R | Medicaid | KS |
Other names
- CRNA-Professional Common Pay
Other providers in Holton, KS
- Michael Roth
- Trent Alan Roth
- Rural Community Adult Care, Inc
- Rural Health Resources of Jackson Co Inc
- Rural Health Resources of Jackson Co Inc
- Rural Health Resources of Jackson Co Inc
- Rural Health Resources of Jackson Co Inc
- Rural Health Resources of Jackson Co Inc
- Rural Health Resources of Jackson Co Inc
- Rural Health Resources of Jackson Co Inc
All providers in Holton, KS · Multi-Specialty Clinic/Center in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.