NPIMap

Organization Active NPI

Rural Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Kennebec, SD
National Provider Identifier
1740669381
Registry record updated Nov 26, 2021
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
Practice address
120 South Main Street
Kennebec, SD 57544
Phone
(605) 869-2872
Fax
(605) 869-2873
NPI assigned
May 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2021

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

Authorized official

Name
James Hardwick
Title
Ceo
Phone
(605) 223-2200

Specialties & licenses 1

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

Addresses

Primary practice location

120 South Main Street
Kennebec, SD 57544

Mailing address

120 South Main Street
Kennebec, SD 57544-0176
Phone (058) 692-8726

Other names 1

  • Access Health Kennebec 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…
O20150918001601 SD Part A Provider - Federally Qualified Health Center (FQHC) 3476447541 Practice locations: Kennebec, SD

Federally qualified health center certification: CCN 431854

Legal name
RURAL HEALTH CARE INC
Doing business as
ACCESS HEALTH KENNEBEC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 20, 2015
Last certification
Aug 20, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 22, 1987 in SD
Enrollment address
120 S Main St
Kennebec, SD 57544-0176

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
Tax ID family
Jones County Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1900 Grassland Dr
Ste 103
Mitchell, SD 57301
Phone (605) 995-4900

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 Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2015 100%
Operational/Managerial Control Jul 1, 2015 100%
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 OfficerChief Executive Officer Feb 3, 2011
Operational/Managerial ControlCeo Jul 1, 2015
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.

  • Rural Health Care, Inc
    • Federally Qualified Health Center (FQHC)
    • Brookings, SD
    • NPI 1386254191

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Rural Health Care, Inc
    • Federally Qualified Health Center (FQHC)
    • Presho, SD
    • NPI 1528071297

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Rural Health Care, Inc
    • Federally Qualified Health Center (FQHC)
    • Mitchell, SD
    • NPI 1669027678

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Rural Health Care, Inc
    • Federally Qualified Health Center (FQHC)
    • Onida, SD
    • NPI 1992793616

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Rural Health Care, Inc.
    • Federally Qualified Health Center (FQHC)
    • Highmore, SD
    • NPI 1205824927

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Rural Health Care, Inc.
    • Federally Qualified Health Center (FQHC)
    • Fort Pierre, SD
    • NPI 1487667077

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Rural Health Care, Inc.
    • Federally Qualified Health Center (FQHC)
    • Murdo, SD
    • NPI 1720076441

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Rural Health Care, Inc.
    • Federally Qualified Health Center (FQHC)
    • Chamberlain, SD
    • NPI 1750705232

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Rural Health Care, Inc
    • Federally Qualified Health Center (FQHC)
    • Windom, MN
    • NPI 1174141485

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Rural Health Care, Inc
    • Federally Qualified Health Center (FQHC)
    • Worthington, MN
    • NPI 1215317375

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Rural Health Care, Inc
    • Federally Qualified Health Center (FQHC)
    • Marshall, MN
    • NPI 1740944602

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Rural Health Care, Inc.
    • Federally Qualified Health Center (FQHC)
    • Fulda, MN
    • NPI 1730707084

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

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 - 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 163

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 163

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637884800000",
    "number": "1740669381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SOUTH MAIN STREET",
            "city": "KENNEBEC",
            "state": "SD",
            "postal_code": "575440176",
            "telephone_number": "058-692-8726",
            "fax_number": "605-869-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SOUTH MAIN STREET",
            "city": "KENNEBEC",
            "state": "SD",
            "postal_code": "57544",
            "telephone_number": "605-869-2872",
            "fax_number": "605-869-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "HARDWICK",
        "authorized_official_first_name": "JAMES",
        "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 Kennebec",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Access Health Kennebec",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennebec, SD

Sources for this page

Verify at the official NPI Registry.