1396713665 NPI number — COUNTY OF WASHINGTON

Table of content: (NPI 1396713665)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396713665 NPI number — COUNTY OF WASHINGTON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF WASHINGTON
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
WASHINGTON COUNTY HEALTH DEPARTMENT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396713665
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/03/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
115 W 3RD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66968-1921
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-325-2600
Provider Business Mailing Address Fax Number:
785-325-2688

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
115 W 3RD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66968-1921
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-325-2600
Provider Business Practice Location Address Fax Number:
785-325-2688
Provider Enumeration Date:
03/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MUELLER
Authorized Official First Name:
TIMOTHY
Authorized Official Middle Name:
Authorized Official Title or Position:
CHAIRMAN, WASHINGTON CO. COMMISSION
Authorized Official Telephone Number:
785-325-2974

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100116280A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 119965 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 100089250B , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000270 . This is a "BCBS HOME HEALTH" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 7317 . This is a "PRIVATE INSURANCES" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 100089250A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".




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