Provider Demographics
NPI:1356317226
Name:GREELEY COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:GREELEY COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY PHYSICIAN/MEDICAL DIRECTOR O
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SCHEFFE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:620-376-4251
Mailing Address - Street 1:PO BOX 537
Mailing Address - Street 2:
Mailing Address - City:TRIBUNE
Mailing Address - State:KS
Mailing Address - Zip Code:67879-0537
Mailing Address - Country:US
Mailing Address - Phone:620-376-4200
Mailing Address - Fax:620-376-2893
Practice Address - Street 1:510 W LAWRENCE
Practice Address - Street 2:
Practice Address - City:TRIBUNE
Practice Address - State:KS
Practice Address - Zip Code:67879
Practice Address - Country:US
Practice Address - Phone:620-376-4200
Practice Address - Fax:620-376-2893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0003851OtherTRADING PARTNER # ASK-EDI
KS0000013292OtherBCBS PROVIDER NUMBER
KS100092320AMedicaid