Provider Demographics
NPI:1346265147
Name:SHAWNEE COUNTY
Entity Type:Organization
Organization Name:SHAWNEE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:J
Authorized Official - Last Name:GAINES
Authorized Official - Suffix:
Authorized Official - Credentials:MAFM, MPA
Authorized Official - Phone:785-251-5666
Mailing Address - Street 1:2600 SW EAST CIRCLE DR S
Mailing Address - Street 2:SHAWNEE COUNTY (HEALTH DEPARTMENT)
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-2447
Mailing Address - Country:US
Mailing Address - Phone:785-251-5600
Mailing Address - Fax:785-251-5696
Practice Address - Street 1:2600 SW EAST CIRCLE DR S
Practice Address - Street 2:SHAWNEE COUNTY (HEALTH DEPARTMENT)
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-2447
Practice Address - Country:US
Practice Address - Phone:785-251-5600
Practice Address - Fax:785-251-5696
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHAWNEE COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-13
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100089380HMedicaid
KS600002380OtherRAILROAD MEDICARE