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General NPI Number Information
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NPI Number | 1841570298
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Entity Type | Organization
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Legal Business Name | ROOKS COUNTY HEALTH CENTER
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Dates
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Enumeration Date | 08/17/2011
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 1210 N WASHINGTON ST
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City | PLAINVILLE
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State | KS
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Zip | 67663-1632
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Country | US
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Telephone | 785-434-2622
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Fax | 785-434-2577
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Provider Business Mailing Address
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Address Line | PO BOX 389
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City | PLAINVILLE
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State | KS
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Zip | 67663-0389
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Country | US
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Telephone | 785-688-4410
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Fax | 785-434-2434
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Authorized Official
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Title or Position | INTERIM CEO
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Name | JEFFREY B VAN DYKE
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Credential |
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Telephone | 785-688-3695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H-082-001
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License Number State | KS
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