Organization
RURAL HEALTH RESOURCES OF JACKSON CO INC
Active
Other names
CRNA-Professional Common Pay
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARRIE L SAIA (CHIEF EXECUTIVE OFFICER)
(785) 364-2116
Entity
Organization
Contact information
Practice address
1110 COLUMBINE DR, HOLTON, KS 66436-8824
(785) 634-2116
(785) 364-9620
Mailing address
1110 COLUMBINE DR, HOLTON, KS 66436-8824
(785) 634-2116
(785) 364-9620
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
282NC0060X
Critical Access Hospital
H-043-001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100244350R
—
KS
05
—
30003955540001
—
KS
Enumeration date
09/22/2006
Last updated
11/06/2023
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