Provider Demographics
NPI:1326058421
Name:COUNTY OF HAMILTON
Entity Type:Organization
Organization Name:COUNTY OF HAMILTON
Other - Org Name:HAMILTON COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHWIETERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-384-7875
Mailing Address - Street 1:PO BOX 203
Mailing Address - Street 2:304 EAST AVENUE A
Mailing Address - City:SYRACUSE
Mailing Address - State:KS
Mailing Address - Zip Code:67878-0203
Mailing Address - Country:US
Mailing Address - Phone:620-384-7875
Mailing Address - Fax:620-384-7503
Practice Address - Street 1:304 EAST AVENUE A
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:KS
Practice Address - Zip Code:67878-0203
Practice Address - Country:US
Practice Address - Phone:620-384-7875
Practice Address - Fax:620-384-7503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100229010AMedicaid
KS608100OtherFIRST GUARD
012809Medicare ID - Type Unspecified