Organization
RURAL HEALTH RESOURCES OF JACKSON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD WAYNE MARSHALL (CHIEF EXECUTIVE OFFICER INTERIM)
(785) 364-2116
Entity
Organization
Contact information
Practice address
1110 COLUMBINE DR, HOLTON, KS 66436-8824
(785) 364-2116
(785) 364-9620
Mailing address
1110 COLUMBINE DR, HOLTON, KS 66436-8824
(785) 364-2116
(785) 364-9620
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
H-043-001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118180
DME-BCBS
KS
Enumeration date
07/10/2006
Last updated
03/05/2008
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