Healthcare Provider Details

I. General information

NPI: 1063559623
Provider Name (Legal Business Name): RUSSELL COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

189 W LURAY ST
RUSSELL KS
67665-2924
US

IV. Provider business mailing address

189 W LURAY ST
RUSSELL KS
67665-2924
US

V. Phone/Fax

Practice location:
  • Phone: 785-483-6433
  • Fax: 785-483-3118
Mailing address:
  • Phone: 785-483-6433
  • Fax: 785-483-3118

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: PAULA FLORIAN
Title or Position: ADMININSTRATOR
Credential: RN
Phone: 785-483-6433