Provider Demographics
NPI:1447376595
Name:COUNTY OF MCPHERSON
Entity type:Organization
Organization Name:COUNTY OF MCPHERSON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FERN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HESS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:620-241-1753
Mailing Address - Street 1:1001 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-2843
Mailing Address - Country:US
Mailing Address - Phone:620-241-1753
Mailing Address - Fax:620-241-1756
Practice Address - Street 1:1001 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-2843
Practice Address - Country:US
Practice Address - Phone:620-241-1753
Practice Address - Fax:620-241-1756
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF MCPHERSON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-21
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS012733OtherBLUE CROSS & BLUE SHIELD
KS100097790BMedicaid
KS012733OtherBLUE CROSS & BLUE SHIELD