Provider Demographics
NPI:1366998239
Name:MARION COUNTY COMMUNITY HEALTH CENTER, INC
Entity type:Organization
Organization Name:MARION COUNTY COMMUNITY HEALTH CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:REEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:620-266-6312
Mailing Address - Street 1:104 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:KS
Mailing Address - Zip Code:67063-1614
Mailing Address - Country:US
Mailing Address - Phone:620-266-6312
Mailing Address - Fax:620-947-3819
Practice Address - Street 1:104 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:KS
Practice Address - Zip Code:67063-1614
Practice Address - Country:US
Practice Address - Phone:620-266-6312
Practice Address - Fax:620-947-3819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health