MEDICARE: ROOKS COUNTY HEALTH CENTER

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	282NC0060X	Critical Access Hospital	H-082-001	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	000178	OTHER	KS	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1649278854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROOKS COUNTY HEALTH CENTER

Provider Business Mailing Address
First Line	:	PO BOX 389
Second Line	:
City	:	PLAINVILLE
State	:	KS
Zip	:	67663-0389
Country	:	US
Telephone Number	:	785-688-4435
Fax Number	:	785-434-2434

Provider Business Practice Location Address
First Line	:	1210 N WASHINGTON ST
Second Line	:
City	:	PLAINVILLE
State	:	KS
Zip	:	67663-1632
Country	:	US
Telephone Number	:	785-688-4435
Fax Number	:	785-434-2434

Authorized Official
Title or Position	:	INTERIM CEO
Name	:	MR. JEFFERY B VAN DYKE
Credential	:
Telephone Number	:	785-688-3695

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	08/07/2024

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Directions to “ROOKS COUNTY HEALTH CENTER ” Practice Location

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