Organization Active NPI

Rural Health Care, Inc.

Doing business as Access Health Chamberlain

  • Federally Qualified Health Center (FQHC)
  • Chamberlain, SD
National Provider Identifier
1750705232
Registry record updated Nov 12, 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.
Doing business as
Access Health Chamberlain
Practice address
101 S Front St Ste 1
Chamberlain, SD 57325-1619
Phone
(605) 234-6584
Fax
(605) 234-5002
NPI assigned
Feb 5, 2014
Last updated
Nov 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

101 S Front St Ste 1
Chamberlain, SD 57325-1619

Mailing address

101 S Front St Ste 1
Chamberlain, SD 57325-1619
Phone (605) 234-6584

Other names 1

  • Access Health Chamberlain 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…
O20141117000540 SD Part A Provider - Federally Qualified Health Center (FQHC) 3476447541 Practice locations: Chamberlain, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750705232. Details of each certification follow.

Federally qualified health center certification: CCN 431852

Legal name
RURAL HEALTH CARE INC
Doing business as
ACCESS HEALTH CHAMBERLAIN
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 26, 2014
Last certification
Aug 26, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 22, 1987 in SD
Enrollment address
101 S Front St
Ste 1
Chamberlain, SD 57325-1619

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
43D0407462Access Health Chamberlain101 S Front Street, Chamberlain, SD 57325ComplianceAug 19, 2027

National Provider Directory

National Provider Directory

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 DirectorBoard Member Apr 24, 2023
Donna Leslie Individual Corporate DirectorBoard Member Jul 1, 2021
Michael J Sprenger Individual Corporate DirectorBoard Vice President Jan 1, 2009
Rodney P Domke Individual Corporate DirectorBoard Treasurer Jan 1, 1999
Rural Health Care Inc Organization, Fort Pierre, SD Non-profit 5% Or Greater Direct Ownership Interest Mar 10, 2014
Caleb Kemink Individual Corporate DirectorBoard Member Jan 1, 2020
Dawn M Tassler Individual Corporate DirectorBoard Secretary Jan 1, 2005
Melissa M Herr-Valberg Individual Corporate DirectorBoard Member Jan 1, 2020
Tonya L Badger Individual Corporate DirectorBoard Member Jan 1, 2012
Paul Steven Hyde Individual Corporate DirectorBoard Member Jan 1, 2006
James M Hardwick Individual Corporate DirectorCeo Feb 27, 2014 100%
Operational/Managerial ControlCeo Feb 27, 2014 100%
Jessica Carr Individual Corporate DirectorBoard 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 - 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 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 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1750705232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S FRONT ST STE 1",
            "city": "CHAMBERLAIN",
            "state": "SD",
            "postal_code": "573251619",
            "telephone_number": "605-234-6584",
            "fax_number": "605-234-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S FRONT ST STE 1",
            "city": "CHAMBERLAIN",
            "state": "SD",
            "postal_code": "573251619",
            "telephone_number": "605-234-6584",
            "fax_number": "605-234-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2021-11-12",
        "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",
        "authorized_official_credential": "CEO"
    },
    "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 Chamberlain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chamberlain, SD

Sources for this page

Verify at the official NPI Registry.