Healthcare Provider Details

I. General information

NPI: 1366440836
Provider Name (Legal Business Name): JOINT CITY COUNTY BOARD OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 01/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 W ELM ST
SALINA KS
67401-2315
US

IV. Provider business mailing address

125 W ELM ST
SALINA KS
67401-2315
US

V. Phone/Fax

Practice location:
  • Phone: 785-826-6606
  • Fax: 785-826-6652
Mailing address:
  • Phone: 785-826-6606
  • Fax: 785-826-6652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateKS

VIII. Authorized Official

Name: YVONNE GIBBONS
Title or Position: EXECUTIVE DIRECTOR
Credential: R.N.
Phone: 785-826-6606