Rural Health Care, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Marshall, MN
NPI 1740944602 · NPPES record last updated Jan 22, 2024
Key facts
- NPI
- 1740944602
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- RURAL HEALTH CARE, INC
- Practice address
- 1521 Carlson St Ste 100
Marshall, MN 56258-2626 - Phone
- (507) 476-4800
- Fax
- (507) 537-2758
- NPI assigned
- Oct 27, 2021
- Organization subpart
- No
Authorized official
- Name
- James M Hardwick
- Title
- Ceo
- Phone
- (605) 223-2200
Owned or controlled facilities with NPI records 9
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 12
Practitioners 265
-
Mary Elizabeth Arntz, PMHNP
-
Debra Kay Behrends, APRN CFPN
-
Emma B Bengtson, PHYSICIAN ASSISTANT
-
Troy Charles Bruns, D.N.P
-
Stephanie C Buhler, M.D.
-
Alexis Grace Burket, CNP
-
Lorinda Jean Coudron, RN CNP
-
Laura Anne Dorman, PA-C
-
Krystal Enger, PA-C
-
Rebecca Ann Erickson, CNP
-
Laura J Fodness, CNP
-
Tanya Freske, CNP
-
Glenn Alan Gaunt, M.D.
-
Mark R Gundersen, MD
-
Jane Elise Hartman, D.O.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0405531 | Access Health Marshall (Rural Health Care, Inc) | Compliance | May 3, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN
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
- Corporation · Non-profit
- Enrollment address
- 1521 Carlson St
Ste 100
Marshall, MN 56258-2626
All disclosed owners & managing parties 11
| 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 | |
| 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 Director | Jan 1, 2008 | |
| Operational/Managerial Control | Jan 1, 2008 | ||
| Jessica Carr |
Corporate Officer |
Oct 31, 2022 |
All facility ownership & control disclosures 9
| 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 |
| 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 |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
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
- Access Health Marshall
Other providers in Marshall, MN
- Emilee L Rose
- Laura Rae Roxberg
- Cheryl Lee Rude
- Laura Runstrom
- Rural Enterprise for Acceptable Living, Inc.
- Gloria Jean Sabin
- Ablavi Saboutey
- Sabrina Maria Ulrich
- Teslynn Marie Saltzer
- Darian Marie Sanders
All providers in Marshall, MN · Federally Qualified Health Center (FQHC) in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2024. 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.