Provider Demographics
NPI:1497978373
Name:COUNTY OF MIAMI
Entity Type:Organization
Organization Name:COUNTY OF MIAMI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCKOON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:913-294-2431
Mailing Address - Street 1:1201 LAKEMARY DRIVE
Mailing Address - Street 2:
Mailing Address - City:PAOLA
Mailing Address - State:KS
Mailing Address - Zip Code:66071
Mailing Address - Country:US
Mailing Address - Phone:913-294-2431
Mailing Address - Fax:913-294-9506
Practice Address - Street 1:1201 LAKEMARY DRIVE
Practice Address - Street 2:
Practice Address - City:PAOLA
Practice Address - State:KS
Practice Address - Zip Code:66071
Practice Address - Country:US
Practice Address - Phone:913-294-2431
Practice Address - Fax:913-294-9506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100089230AMedicaid
KS100089230Medicaid
KS100089230BMedicaid
KS464116Medicare ID - Type UnspecifiedCHILDREN MERCY HEALTHWAVE
KS012784MIMedicare ID - Type UnspecifiedHEALTH DEPARTMENT
KS100089230BMedicaid