1487625729 NPI number — COUNTY OF DONIPHAN

Table of content: (NPI 1487625729)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487625729 NPI number — COUNTY OF DONIPHAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF DONIPHAN
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:
Provider Other Organization Name Type Code:
6
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:
1487625729
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/06/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 609
Provider Second Line Business Mailing Address:
201 S. MAIN
Provider Business Mailing Address City Name:
TROY
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66087-0609
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-985-3591
Provider Business Mailing Address Fax Number:
785-985-3550

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 S MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TROY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66087-4001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-985-3591
Provider Business Practice Location Address Fax Number:
785-985-3550
Provider Enumeration Date:
01/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PIERCE
Authorized Official First Name:
SHERYL
Authorized Official Middle Name:
LEE
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
785-985-3591

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  A-022-001 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251K00000X , with the licence number: A-022-001 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 10001450000 . This is a "CHP HOME HEALTH" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 100068770A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100094720A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0259 . This is a "BCBS HOME HEALTH" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 100094720B , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 12781 . This is a "BCBS HEALTH DEPARTMENT" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com