| Organization Name: | MARY HERTEL-EDNEY |
| NPI Number: | 1215102207 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY ELIZABETH HERTEL-EDNEY (SOCIAL WORKER) |
| Mailing Address: | 602 W 1st St Iuka |
| State: | KS US |
| Postal Code: | 670669546 |
| Phone Number: | 6205462486 |
| Fax Number: | |
| NPI Enumeration Date: | 04/29/2008 |
| NPI Last Update Date: | 04/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283X00000X |
| License Number: | LBSW 3224 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Rehabilitation Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |