Organization Name: | COUNTY OF LOGAN |
NPI Number: | 1679544811 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRYSTAL R FAULKENDER (OFFICE MANAGER) |
Mailing Address: | 212 Maple Ave Oakley |
State: | KS US |
Postal Code: | 677481220 |
Phone Number: | 7856723261 |
Fax Number: | 7856728194 |
NPI Enumeration Date: | 01/27/2006 |
NPI Last Update Date: | 03/11/2011 |
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: |