Healthcare Provider Details

I. General information

NPI: 1487625729
Provider Name (Legal Business Name): COUNTY OF DONIPHAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 04/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S MAIN ST
TROY KS
66087-4001
US

IV. Provider business mailing address

PO BOX 609 201 S. MAIN
TROY KS
66087-0609
US

V. Phone/Fax

Practice location:
  • Phone: 785-985-3591
  • Fax: 785-985-3550
Mailing address:
  • Phone: 785-985-3591
  • Fax: 785-985-3550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberA-022-001
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberA-022-001
License Number StateKS

VIII. Authorized Official

Name: MRS. SHERYL LEE PIERCE
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 785-985-3591