Healthcare Provider Details

I. General information

NPI: 1366998239
Provider Name (Legal Business Name): MARION COUNTY COMMUNITY HEALTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2016
Last Update Date: 08/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 N WASHINGTON ST
HILLSBORO KS
67063-1614
US

IV. Provider business mailing address

104 N WASHINGTON ST
HILLSBORO KS
67063-1614
US

V. Phone/Fax

Practice location:
  • Phone: 620-266-6312
  • Fax: 620-947-3819
Mailing address:
  • Phone: 620-266-6312
  • Fax: 620-947-3819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL REEH
Title or Position: PHYSICIAN EXECUTIVE DIRECTOR
Credential: M.D.
Phone: 620-266-6312