Healthcare Provider Details

I. General information

NPI: 1831243856
Provider Name (Legal Business Name): COUNTY OF GREENWOOD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W 1ST ST
EUREKA KS
67045-1504
US

IV. Provider business mailing address

200 W 1ST ST
EUREKA KS
67045-1504
US

V. Phone/Fax

Practice location:
  • Phone: 620-583-6632
  • Fax: 620-583-7709
Mailing address:
  • Phone: 620-583-6632
  • Fax: 620-583-7709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARY HANCOCK
Title or Position: OFFICE MANAGER
Credential:
Phone: 620-583-6632