Organization
RURAL HEALTH RESOURCES OF JACKSON CO INC
Active
Other names
Holton Family Medicine, Family Practice Associates
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 STE 100, HOLTON, KS 66436-8824
(785) 364-2126
(785) 364-2801
Mailing address
1110 COLUMBINE DR STE 100, HOLTON, KS 66436-8824
(785) 364-2126
(785) 364-2801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
KS
261QR1300X
Rural Health Clinic/Center
Primary
H-043-001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100244350B
—
KS
05
—
100244350E
—
KS
01
—
110707
BLUE CORSS GROUP PROVIDER
KS
Enumeration date
02/24/2006
Last updated
11/06/2023
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