Provider Demographics
NPI:1437128287
Name:COUNTY OF COMANCHE
Entity Type:Organization
Organization Name:COUNTY OF COMANCHE
Other - Org Name:COMANCHE CO HEALTH DEPT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOWENGERDT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:620-582-2431
Mailing Address - Street 1:PO BOX 433
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:KS
Mailing Address - Zip Code:67029-0433
Mailing Address - Country:US
Mailing Address - Phone:620-582-2431
Mailing Address - Fax:620-582-2491
Practice Address - Street 1:207 S WASHINGTON
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:KS
Practice Address - Zip Code:67029
Practice Address - Country:US
Practice Address - Phone:620-582-2431
Practice Address - Fax:620-582-2491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100279720AMedicaid
012772Medicare ID - Type Unspecified