Healthcare Provider Details
I. General information
NPI: 1437241882
Provider Name (Legal Business Name): GOVE COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/29/2006
Last Update Date: 09/02/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
521 GARFIELD STREET
QUINTER KS
67752
US
IV. Provider business mailing address
P.O BOX 55
QUINTER KS
67752
US
V. Phone/Fax
- Phone: 785-754-2147
- Fax: 785-754-2163
- Phone: 785-754-2147
- Fax: 785-754-2163
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 100113930A |
| Identifier Type | MEDICAID |
| Identifier State | KS |
| Identifier Issuer | |
| # 2 | |
| Identifier | 500370 |
| Identifier Type | OTHER |
| Identifier State | KS |
| Identifier Issuer | FIRSTGUARD |
| # 3 | |
| Identifier | 90060 |
| Identifier Type | OTHER |
| Identifier State | KS |
| Identifier Issuer | FIRSTGUARD (HEALTHWAVE) |
| # 4 | |
| Identifier | 012798 |
| Identifier Type | OTHER |
| Identifier State | KS |
| Identifier Issuer | BLUECROSSBLUESHIELD |
VIII. Authorized Official
Name:
BRENDA
LOUISE
ORR
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 785-754-2147