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Organization Active NPI

Rural Health Resources of Jackson Co Inc

  • Multi-Specialty Clinic/Center
  • Holton, KS
National Provider Identifier
1235238296
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 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
Last updated
Nov 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Ms. Carrie L Saia
Title
Chief Executive Officer
Phone
(785) 364-2116

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
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 names 1

  • CRNA-Professional Common Pay Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
Holton Community HospitalHolton, KS, CCN 171319 Hospital Operational/Managerial Control Apr 17, 1997
Holton Community HospitalHolton, KS, CCN 17Z319 Hospital Operational/Managerial Control Sep 26, 2012
Holton Community Hospital Home Health and Hospice AgencyHolton, KS, CCN 177272 Home health agency Operational/Managerial Control (100%) Apr 17, 1997
Rural Health Resources of Jackson Co IncHolton, KS, CCN 171544 Hospice Operational/Managerial Control (100%) Apr 17, 1997
Holton Family MedicineHolton, KS, CCN 178511 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 3, 2003
Hoyt Family MedicineHoyt, KS, CCN 178523 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 17, 1997
Apr 17, 1997
Wetmore Family MedicineWetmore, KS, CCN 178575 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2013
Jan 1, 2013

Owned or controlled facilities with NPI records 7

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

Practitioners & affiliated clinicians

Practitioners 60

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1235238296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 COLUMBINE DR",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664368824",
            "telephone_number": "785-634-2116",
            "fax_number": "785-364-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 COLUMBINE DR",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664368824",
            "telephone_number": "785-634-2116",
            "fax_number": "785-364-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL HEALTH RESOURCES OF JACKSON CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "SAIA",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "785-364-2116",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H-043-001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRNA-Professional Common Pay",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CRNA-Professional Common Pay",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Holton, KS

Sources for this page

Verify at the official NPI Registry.