Organization Active NPI

Rural Health Care, Inc

Doing business as Access Health - Brookings

  • Federally Qualified Health Center (FQHC)
  • Brookings, SD
National Provider Identifier
1386254191
Registry record updated Aug 6, 2020
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
Doing business as
Access Health - Brookings
Practice address
400 22ND Ave Ste 1
Brookings, SD 57006-2450
Phone
(605) 697-9500
Fax
(605) 697-9627
NPI assigned
Aug 6, 2020
Last updated
Aug 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

400 22ND Ave Ste 1
Brookings, SD 57006-2450

Mailing address

400 22ND Ave Ste 1
Brookings, SD 57006-2450
Phone (605) 697-9500

Other names 1

  • Access Health - Brookings Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040210000648 SD Part B Supplier - Clinic/Group Practice 3476447541 Receives reassigned benefits from 150 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brookings, SD; Chamberlain, SD; Fort Pierre, SD; Highmore, SD; Kennebec, SD; Mitchell, SD; Murdo, SD; Onida, SD…
O20201111002457 SD Part A Provider - Federally Qualified Health Center (FQHC) 3476447541 Practice locations: Brookings, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386254191. Details of each certification follow.

Federally qualified health center certification: CCN 431856

Legal name
RURAL HEALTH CARE INC
Doing business as
ACCESS HEALTH - BROOKINGS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 5, 2020
Last certification
Oct 5, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 22, 1987 in SD
Enrollment address
400 22ND Ave
Ste 1
Brookings, SD 57006-2450

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 9

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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 DirectorBoard Member Apr 24, 2023
Donna Leslie Individual Corporate DirectorBoard Member Jul 1, 2021
Michael J Sprenger Individual Corporate DirectorBoard Vice President Jan 1, 2009
Rodney P Domke Individual Corporate DirectorBoard Treasurer Jan 1, 1999
Rural Health Care Inc Organization, Fort Pierre, SD Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2020 100%
Caleb Kemink Individual Corporate DirectorBoard Member Jan 1, 2020
Dawn M Tassler Individual Corporate DirectorBoard Secretary Jan 1, 2005
Melissa M Herr-Valberg Individual Corporate DirectorBoard Member Jan 1, 2020
Tonya L Badger Individual Corporate DirectorBoard Member Jan 1, 2012
Paul Steven Hyde Individual Corporate DirectorBoard Member Jan 1, 2006
James M Hardwick Individual Corporate DirectorCeo Feb 1, 2008 100%
Operational/Managerial ControlCeo Feb 1, 2008 100%
Jessica Carr Individual Corporate DirectorBoard President Oct 31, 2022

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 8

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

Owned or controlled facilities with NPI records 8

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

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 31

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 31

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1386254191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 22ND AVE STE 1",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062450",
            "telephone_number": "605-697-9500",
            "fax_number": "605-697-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 22ND AVE STE 1",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062450",
            "telephone_number": "605-697-9500",
            "fax_number": "605-697-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Health - Brookings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookings, SD

Sources for this page

Verify at the official NPI Registry.