Organization Name: | CLOUD COUNTY HEALTH CENTER INC |
NPI Number: | 1215930896 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLYN SUE EBBESSON (PRACTICE ADMINISTRATOR) |
Mailing Address: | 1100 Highland Dr Fl 3 Concordia |
State: | KS US |
Postal Code: | 669013923 |
Phone Number: | 7852434272 |
Fax Number: | 7852434275 |
NPI Enumeration Date: | 05/27/2005 |
NPI Last Update Date: | 02/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |