Organization Name: | WHITE CLOUD HEALTH STATION |
NPI Number: | 1538199724 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PEGGY HANKERSON (BUSINESS OFC MGR) |
Mailing Address: | 3313b Thrasher Rd White Cloud |
State: | KS US |
Postal Code: | 660944028 |
Phone Number: | 7855953450 |
Fax Number: | 7855953493 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 04/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |