| Organization Name: | NORTHEAST KANSAS CENTER FOR HEALTH AND WELLNESS, INC. |
| NPI Number: | 1861433823 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DALE A. WHITE (CEO) |
| Mailing Address: | 240 W 18th St Horton |
| State: | KS US |
| Postal Code: | 664391245 |
| Phone Number: | 7854862642 |
| Fax Number: | 7854862842 |
| NPI Enumeration Date: | 06/09/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | H-007-002 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |