Organization Name: | COUNTY OF DECATUR |
NPI Number: | 1033105358 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARILYN M GAMBLIN (ADMINISTRATOR) |
Mailing Address: | 902 W Columbia St Oberlin |
State: | KS US |
Postal Code: | 677492412 |
Phone Number: | 7854758118 |
Fax Number: | 7854758143 |
NPI Enumeration Date: | 09/22/2005 |
NPI Last Update Date: | 10/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |