Provider Demographics
NPI:1497879548
Name:GREELEY COUNTY HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:GREELEY COUNTY HEALTH SERVICES, INC
Other - Org Name:HAMILTON COUNTY FAMILY PRACTICE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COWLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-376-4251
Mailing Address - Street 1:102 EAST AVENUE B
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:KS
Mailing Address - Zip Code:67878
Mailing Address - Country:US
Mailing Address - Phone:620-384-6907
Mailing Address - Fax:620-384-6909
Practice Address - Street 1:321 E HARPER
Practice Address - Street 2:
Practice Address - City:TRIBUNE
Practice Address - State:KS
Practice Address - Zip Code:67879
Practice Address - Country:US
Practice Address - Phone:620-376-4251
Practice Address - Fax:620-376-2772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS111213Medicare ID - Type UnspecifiedPART B