Provider Demographics
NPI:1528071297
Name:RURAL HEALTH CARE, INC
Entity type:Organization
Organization Name:RURAL HEALTH CARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDWICK
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:605-223-2200
Mailing Address - Street 1:202 ISLAND DR STE 1
Mailing Address - Street 2:
Mailing Address - City:FORT PIERRE
Mailing Address - State:SD
Mailing Address - Zip Code:57532-7303
Mailing Address - Country:US
Mailing Address - Phone:605-853-2786
Mailing Address - Fax:605-853-2653
Practice Address - Street 1:116 MAIN STREET
Practice Address - Street 2:
Practice Address - City:PRESHO
Practice Address - State:SD
Practice Address - Zip Code:57325-0027
Practice Address - Country:US
Practice Address - Phone:605-234-6584
Practice Address - Fax:605-234-5002
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RURAL HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-14
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD1002102OtherWELLMARK BCBS
SD5350290Medicaid
SD431842Medicare Oscar/Certification