Healthcare Provider Details

I. General information

NPI: 1497722110
Provider Name (Legal Business Name): COUNTY OF LINCOLN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 12/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 W COURT ST
LINCOLN KS
67455
US

IV. Provider business mailing address

114 W COURT ST PO BOX 187
LINCOLN KS
67455
US

V. Phone/Fax

Practice location:
  • Phone: 785-524-4406
  • Fax: 785-524-5003
Mailing address:
  • Phone: 785-524-4406
  • Fax: 785-524-5003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: LADONNA REINERT
Title or Position: RN ADMINISTRATOR
Credential: RN
Phone: 785-524-4406