MEDICARE: SMITH COUNTY COURTHOUSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	629890	OTHER	KS	PUBLIC HEALTH
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	012790	OTHER	KS	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1194712836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMITH COUNTY COURTHOUSE

Provider Business Mailing Address
First Line	:	119 S MAIN ST
Second Line	:
City	:	SMITH CENTER
State	:	KS
Zip	:	66967-2605
Country	:	US
Telephone Number	:	785-282-6656
Fax Number	:	785-282-3301

Provider Business Practice Location Address
First Line	:	119 S MAIN ST
Second Line	:
City	:	SMITH CENTER
State	:	KS
Zip	:	66967-2605
Country	:	US
Telephone Number	:	785-282-6656
Fax Number	:	785-282-3301

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ELIZABETH LYNNE HILL
Credential	:
Telephone Number	:	785-282-6656

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	05/05/2009

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Directions to “SMITH COUNTY COURTHOUSE ” Practice Location

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