Rural Health Care, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Murdo, SD
NPI 1720076441 · NPPES record last updated Apr 24, 2023
Key facts
- NPI
- 1720076441
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- RURAL HEALTH CARE, INC.
- Practice address
- 609 Garfield Ave
Murdo, SD 57559 - Phone
- (605) 669-2121
- Fax
- (605) 669-3301
- NPI assigned
- Oct 6, 2005
- 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 238
-
Aaron Paul Baas, MD
-
Dalton Baird, MD
-
Jackie Joanne Bau, FNP-C
-
Kelsey Marie Bender, PHYSICIAN ASSISTANT
-
Matt N. Bien, MD
-
Kassidy Boyd, M.D.
-
Kevin B Bray, MD
-
Daniel Cecil, MD
-
Tammy Jean Crofutt, CNP
-
Morgan Derungs, FNP
-
Rachel Dykstra, CNP
-
Ashleigh Eilts, NP-C
-
Shelby Eischens, MD
-
Kristie L Goens, CNP
-
Tanya Hagen-Lee, CNP
-
Kayla Hannemann, M.D.
-
Barbara Harvison, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D0658949 | Access Health Murdo | Compliance | Sep 12, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SD
Federally qualified health center certification: CCN 431814
- Legal name
- RURAL HEALTH CARE INC
- Doing business as
- ACCESS HEALTH - MURDO
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 1, 1993
- Last certification
- Jan 1, 1993
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 22, 1987 in SD
- Enrollment address
- 609 Garfield Ave
Murdo, SD 57559-4100
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Laurie Boerboom |
Corporate Officer |
Apr 24, 2023 | |
| Donna Leslie |
Corporate Officer |
Jul 1, 2021 | |
| Michael J Sprenger |
Corporate Officer |
Jan 1, 2009 | |
| Rodney P Domke |
Corporate Officer |
Jan 1, 1999 | |
| Rural Health Care Inc |
5% Or Greater Direct Ownership Interest | Feb 10, 1988 | 100% |
| Operational/Managerial Control | Jul 15, 2011 | ||
| Caleb Kemink |
Corporate Officer |
Jan 1, 2020 | |
| Dawn M Tassler |
Corporate Officer |
Jan 1, 2005 | |
| Melissa M Herr-Valberg |
Corporate Officer |
Jan 1, 2020 | |
| Tonya L Badger |
Corporate Officer |
Jan 1, 2012 | |
| Paul Steven Hyde |
Corporate Officer |
Jan 1, 2006 | |
| James M Hardwick |
Corporate Officer |
Feb 8, 2011 | 100% |
| W-2 Managing Employee |
Jan 17, 2008 | ||
| Jessica Carr |
Corporate Officer |
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 - 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 |
| Access Health - Brookings |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2020 |
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 Practice locations: Brookings, SD; Chamberlain, SD; Fort Pierre, SD; Highmore, SD; Kennebec, SD; Mitchell, SD; Murdo, SD; Onida, SD… |
| O20091124000371 | SD | Part a Provider - Federally Qualified Health Center (FQHC) | 3476447541 | Practice locations: Murdo, SD |
National Provider Directory
Locations
400 22nd Ave
Ste 1
Brookings, SD 57006
Phone (605) 697-9500
116 N Main Ave
Presho, SD 57568
Phone (605) 842-7188
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
609 Garfield Ave
Murdo, SD 57559
Mailing address
202 Island Dr Ste 1
Fort Pierre, SD 57532-7303
Phone (605) 669-2121
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002646 | Other | SD | BCBS GROUP PROVIDER NUMBE |
Other names
- Access Health - Murdo
- Jones County Clinic
Other providers in Murdo, SD
- Lori A Iversen
- Jones County Emergency Care Council, Inc
- Jones County School District
- Murdo Dental LLC
- Aaron Rumpca
- James Cedric Szana
- Wcenet
All providers in Murdo, 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 Apr 24, 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.