# RURAL HEALTH RESOURCES OF JACKSON COUNTY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962436626
- **Authorized official:** MR. RONALD WAYNE MARSHALL (CHIEF EXECUTIVE OFFICER INTERIM)
- **Authorized official phone:** (785) 364-2116

## Contact information

- **Practice address:** 1110 COLUMBINE DR, HOLTON, KS 66436-8824
- **Practice address phone:** (785) 364-2116
- **Practice address fax:** (785) 364-9620
- **Mailing address:** 1110 COLUMBINE DR, HOLTON, KS 66436-8824
- **Mailing address phone:** (785) 364-2116
- **Mailing address fax:** (785) 364-9620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | H-043-001 | KS | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 03/05/2008