Provider Demographics
NPI:1518134642
Name:PHILLIPS COUNTY
Entity Type:Organization
Organization Name:PHILLIPS COUNTY
Other - Org Name:PHILLIPS COUNTY HEALTH DEPARTMENT HOME HEALTH AGENCY
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:HANCHETT
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MICT
Authorized Official - Phone:785-543-6850
Mailing Address - Street 1:784 6TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:67661-1939
Mailing Address - Country:US
Mailing Address - Phone:785-543-6850
Mailing Address - Fax:785-543-6852
Practice Address - Street 1:784 6TH ST
Practice Address - Street 2:
Practice Address - City:PHILLIPSBURG
Practice Address - State:KS
Practice Address - Zip Code:67661-1939
Practice Address - Country:US
Practice Address - Phone:785-543-6850
Practice Address - Fax:785-543-6852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare