Organization Active NPI

Rural Health Care, Inc

Doing business as Access Health Marshall

  • Federally Qualified Health Center (FQHC)
  • Marshall, MN
National Provider Identifier
1740944602
Registry record updated Jan 22, 2024
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 Marshall
Practice address
1521 Carlson St Ste 100
Marshall, MN 56258-2626
Phone
(507) 476-4800
Fax
(507) 537-2758
NPI assigned
Oct 27, 2021
Last updated
Jan 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

1521 Carlson St Ste 100
Marshall, MN 56258-2626

Mailing address

1521 Carlson St Ste 100
Marshall, MN 56258-2626
Phone (507) 476-4800

Other names 1

  • Access Health Marshall Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150710000034 MN Part B Supplier - Clinic/Group Practice 3476447541 Receives reassigned benefits from 106 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Worthington, MN; Windom, MN; Fulda, MN; Marshall, MN
O20211122000239 MN Part A Provider - Federally Qualified Health Center (FQHC) 3476447541 Practice locations: Marshall, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740944602. Details of each certification follow.

Federally qualified health center certification: CCN 241898

Legal name
RURAL HEALTH CARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 22, 2022
Last certification
Feb 22, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1521 Carlson St
Ste 100
Marshall, MN 56258-2626

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 3

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
24D0405531Access Health Marshall (Rural Health Care, Inc)1521 Carlson St, Marshall, MN 56258ComplianceMay 3, 2028

National Provider Directory

National Provider Directory

Locations

820 2nd Ave N
Ste 1
Windom, MN 56101
Phone (507) 831-1703

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

101 S Front St
Ste 1
Chamberlain, SD 57325
Phone (605) 234-6584

Ownership & related parties

All disclosed owners & managing parties 11

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
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 Director Jan 1, 2008
Operational/Managerial Control Jan 1, 2008
Jessica Carr Individual Corporate OfficerBoard President Oct 31, 2022

All facility ownership & control disclosures 9

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
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 9

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

Practitioners & affiliated clinicians

Practitioners 253

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 253

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1740944602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 CARLSON ST STE 100",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582626",
            "telephone_number": "507-476-4800",
            "fax_number": "507-537-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 CARLSON ST STE 100",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582626",
            "telephone_number": "507-476-4800",
            "fax_number": "507-537-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "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 Marshall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshall, MN

Sources for this page

Verify at the official NPI Registry.