Healthcare Provider Details

I. General information

NPI: 1871603712
Provider Name (Legal Business Name): COUNTY OF BARBER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 E KANSAS AVE
MEDICINE LODGE KS
67104-1404
US

IV. Provider business mailing address

117 E KANSAS AVE
MEDICINE LODGE KS
67104-1404
US

V. Phone/Fax

Practice location:
  • Phone: 620-886-3294
  • Fax: 620-886-3747
Mailing address:
  • Phone: 620-886-3294
  • Fax: 620-886-3747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. HEATHER L HENKE
Title or Position: ADMINSTRATOR
Credential: RN
Phone: 620-886-3294