MEDICARE: GREELEY COUNTY HEALTH SERVICES INC

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	261QR1300X	Rural Health Clinic/Center	178525	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

General Provider Information

NPI Number	:	1316054141
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREELEY COUNTY HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	PO BOX 310
Second Line	:
City	:	SHARON SPRINGS
State	:	KS
Zip	:	67758-0310
Country	:	US
Telephone Number	:	785-852-4230
Fax Number	:	785-852-4364

Provider Business Practice Location Address
First Line	:	504 E 6TH ST
Second Line	:
City	:	SHARON SPRINGS
State	:	KS
Zip	:	67758-0310
Country	:	US
Telephone Number	:	785-852-4230
Fax Number	:	785-852-4364

Authorized Official
Title or Position	:	CLINIC MANAGER
Name	:	SHARON ROHR
Credential	:
Telephone Number	:	620-376-4251

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	10/01/2013

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