MEDICARE: COUNTY OF HARPER

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	NONE	KS

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295729796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF HARPER

Provider Business Mailing Address
First Line	:	123 N. JENNINGS AVE
Second Line	:
City	:	ANTHONY
State	:	KS
Zip	:	67003-2708
Country	:	US
Telephone Number	:	620-842-5132
Fax Number	:	620-842-3152

Provider Business Practice Location Address
First Line	:	123 N JENNINGS AVE
Second Line	:
City	:	ANTHONY
State	:	KS
Zip	:	67003-2708
Country	:	US
Telephone Number	:	620-842-5132
Fax Number	:	620-842-3152

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	HEATHER RENEE STRUBLE
Credential	:
Telephone Number	:	620-842-5132

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	10/02/2024

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Directions to “COUNTY OF HARPER ” Practice Location

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