Organization Name: | GEORGETOWN HEALTH CARE CENTER, INC. |
NPI Number: | 1194822379 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENNIS WALL HENDERSHOT (PRESIDENT) |
Mailing Address: | 5605 Merriam Dr Merriam |
State: | KS US |
Postal Code: | 662032521 |
Phone Number: | 9133620313 |
Fax Number: | 9137221600 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 2-10027 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |