Provider Demographics
NPI:1023006400
Name:COUNTY OF PAWNEE
Entity Type:Organization
Organization Name:COUNTY OF PAWNEE
Other - Org Name:PAWNEE COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HOBERECHT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:620-285-6963
Mailing Address - Street 1:715 BROADWAY PO BOX 150
Mailing Address - Street 2:
Mailing Address - City:LARNED
Mailing Address - State:KS
Mailing Address - Zip Code:67550
Mailing Address - Country:US
Mailing Address - Phone:620-285-6963
Mailing Address - Fax:620-285-3246
Practice Address - Street 1:715 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:LARNED
Practice Address - State:KS
Practice Address - Zip Code:67550-3054
Practice Address - Country:US
Practice Address - Phone:620-285-6963
Practice Address - Fax:620-285-3246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-11
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100089210AMedicaid
12750Medicare ID - Type Unspecified