MEDICARE: GEARY COUNTY HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	A-031-002	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	609	OTHER	KS	BCBS PROVIDER #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346245701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEARY COUNTY HOSPITAL

Provider Business Mailing Address
First Line	:	1310 W ASH ST
Second Line	:	SUITE B
City	:	JUNCTION CITY
State	:	KS
Zip	:	66441-3466
Country	:	US
Telephone Number	:	785-762-2653
Fax Number	:	785-238-2685

Provider Business Practice Location Address
First Line	:	1310 W ASH ST
Second Line	:	SUITE B
City	:	JUNCTION CITY
State	:	KS
Zip	:	66441-3366
Country	:	US
Telephone Number	:	785-762-2653
Fax Number	:	785-238-2685

Authorized Official
Title or Position	:	DIRECTOR
Name	:	TERRI WAHLE
Credential	:	RN, C
Telephone Number	:	785-762-2653

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	10/10/2012

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Directions to “GEARY COUNTY HOSPITAL ” Practice Location

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