Healthcare Provider Details

I. General information

NPI: 1457393019
Provider Name (Legal Business Name): COUNTY OF MARSHALL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 06/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 BROADWAY
MARYSVILLE KS
66508-1840
US

IV. Provider business mailing address

600 BROADWAY
MARYSVILLE KS
66508-1840
US

V. Phone/Fax

Practice location:
  • Phone: 785-562-3485
  • Fax: 785-562-9984
Mailing address:
  • Phone: 785-562-3485
  • Fax: 785-562-9984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number0419868
License Number StateKS

VIII. Authorized Official

Name: MRS. CHERYL SKALLA
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 785-562-3485