Rural Health Care, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Brookings, SD
NPI 1386254191 · NPPES record last updated Aug 6, 2020
Key facts
- NPI
- 1386254191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- RURAL HEALTH CARE, INC
- Practice address
- 400 22ND Ave Ste 1
Brookings, SD 57006-2450 - Phone
- (605) 697-9500
- Fax
- (605) 697-9627
- NPI assigned
- Aug 6, 2020
- Organization subpart
- No
Authorized official
- Name
- James M Hardwick
- Title
- Ceo
- Phone
- (605) 223-2200
Owners & managing parties with NPI records 12
Owned or controlled facilities with NPI records 8
Other NPIs on the same Medicare enrollment 9
Other NPIs with the same Medicare PAC ID 12
Facilities with the same owner 8
Practitioners 164
-
Amy L. Bakker, PAC
-
Jackie Joanne Bau, FNP-C
-
Tammy Jean Crofutt, CNP
-
Morgan Derungs, FNP
-
Megan Lynn Hadley, PA-C
-
Barbara Harvison, PA-C
-
Tara A. Heinze, PAC
-
Mahalia Kappes, FNP-BC
-
Virginia F Lemme, PAC
-
Ashley Lauren Lipp, PA-C
-
Madelyn Rae Ponto, CNP
-
Sarah Sapp, CNP
-
Sarah J. Smith, MD
-
Rachel Jan Sunne, MD
-
Katie Tetzlaff, PA-C
-
Clara J Kennedy, PA-C
-
James F Walery, M.D.
-
Tessa N Warner, MD
-
Aaron Paul Baas, MD
-
Dalton Baird, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SD
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
- Corporation · Non-profit
- Incorporated
- May 22, 1987 in SD
- Enrollment address
- 400 22ND Ave
Ste 1
Brookings, SD 57006-2450
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Laurie Boerboom |
Corporate Director |
Apr 24, 2023 | |
| Donna Leslie |
Corporate Director |
Jul 1, 2021 | |
| Michael J Sprenger |
Corporate Director |
Jan 1, 2009 | |
| Rodney P Domke |
Corporate Director |
Jan 1, 1999 | |
| Rural Health Care Inc |
5% Or Greater Direct Ownership Interest | Nov 1, 2020 | 100% |
| Caleb Kemink |
Corporate Director |
Jan 1, 2020 | |
| Dawn M Tassler |
Corporate Director |
Jan 1, 2005 | |
| Melissa M Herr-Valberg |
Corporate Director |
Jan 1, 2020 | |
| Tonya L Badger |
Corporate Director |
Jan 1, 2012 | |
| Paul Steven Hyde |
Corporate Director |
Jan 1, 2006 | |
| James M Hardwick |
Corporate Director |
Feb 1, 2008 | 100% |
| Operational/Managerial Control |
Feb 1, 2008 | 100% | |
| Jessica Carr |
Corporate Director |
Oct 31, 2022 |
All facility ownership & control disclosures 8
| Facility | Type | Role | Since |
|---|---|---|---|
| Access Health - Fort Pierre |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Feb 10, 1988 |
| Access Health - Presho |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Mar 17, 2008 |
| Access Health - Onida |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Feb 10, 1988 |
| Access Health - Murdo |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Feb 10, 1988 Jul 15, 2011 |
| Access Health - Highmore |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Feb 10, 1988 |
| Access Health Chamberlain |
Federally qualified health center | 5% Or Greater Direct Ownership Interest | Mar 10, 2014 |
| Access Health Kennebec |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 1, 2015 Jul 1, 2015 |
| Access Health - Mitchell |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
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
- Access Health - Brookings
Other providers in Brookings, SD
- Jodi Rinehart
- Debra J. Rodeghiero Johnston
- Trevor C. Roiger
- Sydney M Rossman
- David Rule
- Brooke Rustman
- Alissa Margaret Salvati
- Sanford Clinic
- Sanford Clinic
- Sanford Healthcare Accessories, LLC
All providers in Brookings, SD · Federally Qualified Health Center (FQHC) in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2020. 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.