COUNTY OF DECATUR NPI 1033105358

NPI Information

NPI: 1033105358
Provider Name: COUNTY OF DECATUR

Doing Business As: DECATUR COUNTY HEALTH DEPARTMENT

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

Address:
902 W COLUMBIA ST
OBERLIN, KS
ZIP 67749
Phone: (785) 475-8118
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COUNTY OF DECATUR is a public health or welfare in Oberlin, KS. COUNTY OF DECATUR NPI is 1033105358. The provider is registered as an organization entity type.
The provider Is Doing Business As Decatur County Health Department.

The provider's business location address is:

902 W COLUMBIA ST
OBERLIN, KS
ZIP 67749-412
Phone: (785) 475-8118
Fax: (785) 475-8143

The provider's authorized official is Marilyn M Gamblin .
The authorized official title is Administrator and has the following contact phone number (785) 475-8118.

The CLIA number assigned to this NPI record is 17D0453070 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2005 and was last updated on 10/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	012748	OTHER	KANSAS	BLUE CROSS BLUE SHIELD
2	100089260	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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