| Organization Name: | NORTHEAST KANSAS MULTI-COUNTY HEALTH DEPARTMENT, INC. |
| NPI Number: | 1174927362 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRISTIN WATKINS (CEO) |
| Mailing Address: | 907 S 2nd St Hiawatha |
| State: | KS US |
| Postal Code: | 664342774 |
| Phone Number: | 7857427192 |
| Fax Number: | 7857424237 |
| NPI Enumeration Date: | 10/16/2014 |
| NPI Last Update Date: | 10/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | KSA007001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |