Healthcare Provider Details

I. General information

NPI: 1295729796
Provider Name (Legal Business Name): COUNTY OF HARPER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 10/02/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 N JENNINGS AVE
ANTHONY KS
67003-2708
US

IV. Provider business mailing address

123 N. JENNINGS AVE
ANTHONY KS
67003-2708
US

V. Phone/Fax

Practice location:
  • Phone: 620-842-5132
  • Fax: 620-842-3152
Mailing address:
  • Phone: 620-842-5132
  • Fax: 620-842-3152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberNONE
License Number StateKS

VIII. Authorized Official

Name: HEATHER RENEE STRUBLE
Title or Position: ADMINISTRATOR
Credential:
Phone: 620-842-5132