Provider Demographics
NPI:1366440836
Name:JOINT CITY COUNTY BOARD OF HEALTH
Entity Type:Organization
Organization Name:JOINT CITY COUNTY BOARD OF HEALTH
Other - Org Name:SALINA-SALINE COUNTY HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBBONS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:785-826-6606
Mailing Address - Street 1:125 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-2315
Mailing Address - Country:US
Mailing Address - Phone:785-826-6606
Mailing Address - Fax:785-826-6652
Practice Address - Street 1:125 W ELM ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-2315
Practice Address - Country:US
Practice Address - Phone:785-826-6606
Practice Address - Fax:785-826-6652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100089370BMedicaid
KS000266OtherBC/BS
KS100067770AMedicaid
KS000266OtherBC/BS