Provider Demographics
NPI:1215029715
Name:SOUTHEAST KANSAS MULTI-COUNTY HEALTH DEPT
Entity Type:Organization
Organization Name:SOUTHEAST KANSAS MULTI-COUNTY HEALTH DEPT
Other - Org Name:SEK MULTI COUNTY HEALTH DEPT./BOURBON CO.
Other - Org Type:Other Name
Authorized Official - Title/Position:SECRETARY, BOARD OF DIRECTORS
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:LOHMON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:620-365-2191
Mailing Address - Street 1:524 S. LOWMAN
Mailing Address - Street 2:
Mailing Address - City:FORT SCOTT
Mailing Address - State:KS
Mailing Address - Zip Code:66701-2316
Mailing Address - Country:US
Mailing Address - Phone:620-223-4464
Mailing Address - Fax:620-223-1686
Practice Address - Street 1:524 S. LOWMAN
Practice Address - Street 2:
Practice Address - City:FORT SCOTT
Practice Address - State:KS
Practice Address - Zip Code:66701-2316
Practice Address - Country:US
Practice Address - Phone:620-223-4464
Practice Address - Fax:620-223-1686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS30003916120003Medicaid
KS100097800BMedicaid