Provider Demographics
NPI:1003819251
Name:COUNTY OF NORTON
Entity Type:Organization
Organization Name:COUNTY OF NORTON
Other - Org Name:NORTON COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRACK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:785-877-5745
Mailing Address - Street 1:801 N NORTON AVE
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:KS
Mailing Address - Zip Code:67654-1432
Mailing Address - Country:US
Mailing Address - Phone:785-877-5745
Mailing Address - Fax:785-877-5746
Practice Address - Street 1:801 N NORTON AVE
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:KS
Practice Address - Zip Code:67654-1432
Practice Address - Country:US
Practice Address - Phone:785-877-5745
Practice Address - Fax:785-877-5746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-00135251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100089220AMedicaid
KS012792OtherBLUE CROSS BLUE SHIELD
KS629670OtherFIRSTGUARD
KS=========OtherTRICARE WEST
KS=========OtherUNITED HEALTHCARE INS. CO
KS629670OtherFIRSTGUARD
KS=========OtherINSURERS ADMIN. CORP.
KS=========OtherMEGA LIFE AND HEALTH INS.
KS=========OtherMUTUAL OF OMAHA
KS012792OtherBLUE CROSS BLUE SHIELD
KS=========OtherHEALTH COST SOLUTIONS, IN
KS100089220AMedicaid
KS=========OtherPREFERRED HEALTH SYSTEMS
KS012792Medicare ID - Type Unspecified