Healthcare Provider Details

I. General information

NPI: 1821087230
Provider Name (Legal Business Name): COUNTY OF LOGAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 07/27/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 CHERRY AVE
OAKLEY KS
67748-1201
US

IV. Provider business mailing address

211 CHERRY AVE
OAKLEY KS
67748-1201
US

V. Phone/Fax

Practice location:
  • Phone: 785-672-3211
  • Fax: 785-672-8184
Mailing address:
  • Phone: 785-672-3211
  • Fax: 785-672-8184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberH055001
License Number StateKS

VIII. Authorized Official

Name: JOEE SHANE MEYER
Title or Position: CFO
Credential:
Phone: 785-672-1409