Provider Demographics
NPI:1508936972
Name:COUNTY OF GEARY
Entity Type:Organization
Organization Name:COUNTY OF GEARY
Other - Org Name:GEARY COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:STALLCUP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-762-5788
Mailing Address - Street 1:PO BOX 282
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66441-0282
Mailing Address - Country:US
Mailing Address - Phone:785-762-5788
Mailing Address - Fax:785-762-1311
Practice Address - Street 1:1212 WEST ASH ST
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441
Practice Address - Country:US
Practice Address - Phone:785-762-5788
Practice Address - Fax:785-762-1311
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF GEARY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-09
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251K00000X, 251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS61101OtherHUMANA GOLD CHOICE
KS0003100OtherCOVENTRY HEALTHCARE OF KAN
MO460032OtherCHILDREN'S MERCY
KS460032OtherCHILDRENS MERCY
KS68069OtherKANCARE - SUNFLOWER
KS87726OtherKANCARE - UNITED HEALTHCARE
KS27514OtherKANCARE - AMERIGROUP
KS012713OtherBLUE CROSS BLUE SHIELD
KS012713OtherMEDICARE - PUBLIC HEALTH
KSP00136791OtherPALMETTO GBA RR MEDICARE
KS100097750AOtherUNICARE
KS100097750AMedicaid
KS27514OtherKANCARE - AMERIGROUP
KSKA 3078Medicare PIN