Provider Demographics
NPI:1518159938
Name:FINNEY COUNTY
Entity Type:Organization
Organization Name:FINNEY COUNTY
Other - Org Name:25TH JUDICIAL DISTRICT COMMUNITY CORRECTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILSON
Authorized Official - Middle Name:R
Authorized Official - Last Name:BEASLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-272-3614
Mailing Address - Street 1:601 N MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-5468
Mailing Address - Country:US
Mailing Address - Phone:620-272-3630
Mailing Address - Fax:620-272-3635
Practice Address - Street 1:601 N MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-5468
Practice Address - Country:US
Practice Address - Phone:620-272-3630
Practice Address - Fax:620-272-3635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS468261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder