Organization Active NPI

Rural Health Care, Inc.

Doing business as Access Health - Murdo

  • Federally Qualified Health Center (FQHC)
  • Murdo, SD
National Provider Identifier
1720076441
Registry record updated Apr 24, 2023
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 - Murdo
Jones County Clinic
Practice address
609 Garfield Ave
Murdo, SD 57559
Phone
(605) 669-2121
Fax
(605) 669-3301
NPI assigned
Oct 6, 2005
Last updated
Apr 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

609 Garfield Ave
Murdo, SD 57559

Mailing address

202 Island Dr Ste 1
Fort Pierre, SD 57532-7303
Phone (605) 669-2121

Other identifiers 1

IdentifierTypeStateIssuer
0002646OtherSDBCBS GROUP PROVIDER NUMBE

Other names 2

  • Access Health - Murdo Doing business as
  • Jones County Clinic 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
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720076441. Details of each certification follow.

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
CorporationNon-profit
Incorporated
May 22, 1987 in SD
Enrollment address
609 Garfield Ave
Murdo, SD 57559-4100

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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D0658949Access Health Murdo609 Garfield, Murdo, SD 57559ComplianceSep 12, 2027

National Provider Directory

National Provider Directory

Locations

200 Commercial Ave SE
Highmore, SD 57345
Phone (605) 852-2238

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 OfficerBoard Member Apr 24, 2023
Donna Leslie Individual Corporate OfficerBoard Member Jul 1, 2021
Michael J Sprenger Individual Corporate OfficerBoard Vice President Jan 1, 2009
Rodney P Domke Individual Corporate OfficerBoard Treasurer Jan 1, 1999
Rural Health Care Inc Organization, Fort Pierre, SD 5% Or Greater Direct Ownership Interest Feb 10, 1988 100%
Operational/Managerial Control Jul 15, 2011
Caleb Kemink Individual Corporate OfficerBoard Member Jan 1, 2020
Dawn M Tassler Individual Corporate OfficerBoard Secretary Jan 1, 2005
Melissa M Herr-Valberg Individual Corporate OfficerBoard Member Jan 1, 2020
Tonya L Badger Individual Corporate OfficerBoard Member Jan 1, 2012
Paul Steven Hyde Individual Corporate OfficerBoard Member Jan 1, 2006
James M Hardwick Individual Corporate OfficerCeo Feb 8, 2011 100%
W-2 Managing EmployeeCeo Jan 17, 2008
Jessica Carr Individual Corporate OfficerBoard 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 - 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
Access Health - BrookingsBrookings, SD, CCN 431856 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2020

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 186

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 186

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1720076441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ISLAND DR STE 1",
            "city": "FORT PIERRE",
            "state": "SD",
            "postal_code": "575327303",
            "telephone_number": "605-669-2121",
            "fax_number": "605-669-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 GARFIELD AVE",
            "city": "MURDO",
            "state": "SD",
            "postal_code": "57559",
            "telephone_number": "605-669-2121",
            "fax_number": "605-669-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER NUMBE",
            "identifier": "0002646",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Health - Murdo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jones County Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murdo, SD

Sources for this page

Verify at the official NPI Registry.