Provider Demographics
NPI:1639133085
Name:JOHNSON COUNTY DEPT OF HEALTH AND ENVIRONMENT
Entity Type:Organization
Organization Name:JOHNSON COUNTY DEPT OF HEALTH AND ENVIRONMENT
Other - Org Name:JOHNSON COUNTY DEPARTMENT OF HEALTH & ENVIRONMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHNSON
Authorized Official - Middle Name:COUNTY
Authorized Official - Last Name:DEPARTMENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-477-8352
Mailing Address - Street 1:11875 S SUNSET DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-2793
Mailing Address - Country:US
Mailing Address - Phone:913-477-8352
Mailing Address - Fax:913-477-8063
Practice Address - Street 1:11875 S SUNSET DR
Practice Address - Street 2:SUITE 300
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-2793
Practice Address - Country:US
Practice Address - Phone:913-826-1200
Practice Address - Fax:913-477-8063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-13
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS30004689150001Medicaid
80314OtherUNICARE
31472OtherCHILDRENS FAMILY HEALTH PARTNERS
KS100091530AMedicaid
KS9003834Medicare ID - Type Unspecified