Organization
RURAL HEALTH CARE, INC.
Active
Other names
Community Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA R. WAGNER (CEO)
(605) 223-2200
Entity
Organization
Contact information
Practice address
608 E GARFIELD AVE, GETTYSBURG, SD 57442-1325
(605) 765-2273
(605) 765-2273
Mailing address
608 E GARFIELD AVE, GETTYSBURG, SD 57442-1325
(605) 765-2273
(605) 765-2273
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4997849
BCBS GROUP PROVIDER NUMBE
SD
05
—
5350190
—
SD
Enumeration date
10/06/2005
Last updated
08/22/2020
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