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	251G00000X	Community Based Hospice Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	614	OTHER	KS	BLUE CROSS HOSPICE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730112509
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	:	66441-3466
Country	:	US
Telephone Number	:	785-762-2653
Fax Number	:	785-238-2685

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	10/10/2012

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