Provider Demographics
NPI:1023163862
Name:COUNTY OF CHASE
Entity type:Organization
Organization Name:COUNTY OF CHASE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:620-273-6377
Mailing Address - Street 1:301 S. WALNUT
Mailing Address - Street 2:PO BOX 625
Mailing Address - City:COTTONWOOD FALLS
Mailing Address - State:KS
Mailing Address - Zip Code:66845
Mailing Address - Country:US
Mailing Address - Phone:620-273-6377
Mailing Address - Fax:620-273-6593
Practice Address - Street 1:301 S. WALNUT
Practice Address - Street 2:
Practice Address - City:COTTONWOOD FALLS
Practice Address - State:KS
Practice Address - Zip Code:66845-0625
Practice Address - Country:US
Practice Address - Phone:620-273-6377
Practice Address - Fax:620-273-6593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100013830Medicaid
KS100091730Medicaid
KS100013830Medicaid