Healthcare Provider Details

I. General information

NPI: 1760524219
Provider Name (Legal Business Name): COUNTY OF RICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 04/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1432 W COMMERCIAL ST
LYONS KS
67554-3900
US

IV. Provider business mailing address

PO BOX 535 1432 W. COMMERCIAL
LYONS KS
67554-0535
US

V. Phone/Fax

Practice location:
  • Phone: 620-257-2171
  • Fax: 620-257-7856
Mailing address:
  • Phone: 620-257-2171
  • Fax: 620-257-7856

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: MRS. MARCI DETMER
Title or Position: RN,BSN
Credential:
Phone: 620-257-2171