Healthcare Provider Details

I. General information

NPI: 1043401474
Provider Name (Legal Business Name): SEWARD COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2007
Last Update Date: 06/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 N WASHINGTON AVE
LIBERAL KS
67901-3428
US

IV. Provider business mailing address

517 N WASHINGTON AVE
LIBERAL KS
67901-3428
US

V. Phone/Fax

Practice location:
  • Phone: 620-626-3284
  • Fax:
Mailing address:
  • Phone: 620-626-3284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: MIKE HOWELL
Title or Position: DIRECTOR
Credential:
Phone: 620-626-3284