Provider Demographics
NPI:1013004225
Name:J C H CONSULTING INC
Entity Type:Organization
Organization Name:J C H CONSULTING INC
Other - Org Name:HIBBARDS PRESCRIPTIONS PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECT AND TREAS OF JCH
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-886-5161
Mailing Address - Street 1:126 N. MAIN
Mailing Address - Street 2:
Mailing Address - City:MEDICINE LODGE
Mailing Address - State:KS
Mailing Address - Zip Code:67104
Mailing Address - Country:US
Mailing Address - Phone:620-886-5161
Mailing Address - Fax:620-886-5517
Practice Address - Street 1:126 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MEDICINE LODGE
Practice Address - State:KS
Practice Address - Zip Code:67104
Practice Address - Country:US
Practice Address - Phone:620-886-5161
Practice Address - Fax:620-886-5517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-07
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336L0003X
KS2104023336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100445030BMedicaid
1704091OtherNCPDP PROVIDER IDENTIFICATION NUMBER
KS100445030AMedicaid
KS100445030BMedicaid