Provider Demographics
NPI:1043040637
Name:ROOKS COUNTY HEALTH CENTER
Entity type:Organization
Organization Name:ROOKS COUNTY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:B
Authorized Official - Last Name:VAN DYKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-688-3695
Mailing Address - Street 1:PO BOX 389
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:67663-0389
Mailing Address - Country:US
Mailing Address - Phone:785-434-4553
Mailing Address - Fax:785-434-2434
Practice Address - Street 1:107 S SPRUCE ST
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:KS
Practice Address - Zip Code:67669-1200
Practice Address - Country:US
Practice Address - Phone:785-425-6921
Practice Address - Fax:785-434-2577
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROOKS COUNTY HEALTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health