Healthcare Provider Details

I. General information

NPI: 1346245701
Provider Name (Legal Business Name): GEARY COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 10/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 W ASH ST SUITE B
JUNCTION CITY KS
66441-3366
US

IV. Provider business mailing address

1310 W ASH ST SUITE B
JUNCTION CITY KS
66441-3466
US

V. Phone/Fax

Practice location:
  • Phone: 785-762-2653
  • Fax: 785-238-2685
Mailing address:
  • Phone: 785-762-2653
  • Fax: 785-238-2685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberA-031-002
License Number StateKS

VIII. Authorized Official

Name: TERRI WAHLE
Title or Position: DIRECTOR
Credential: RN, C
Phone: 785-762-2653