Provider Demographics
NPI:1639144280
Name:COUNTY OF HARVEY
Entity Type:Organization
Organization Name:COUNTY OF HARVEY
Other - Org Name:HARVEY COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:REDINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-283-1637
Mailing Address - Street 1:215 S PINE ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-3765
Mailing Address - Country:US
Mailing Address - Phone:316-283-1637
Mailing Address - Fax:316-283-1757
Practice Address - Street 1:215 S PINE ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-3765
Practice Address - Country:US
Practice Address - Phone:316-283-1637
Practice Address - Fax:316-283-1757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-17
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS12804OtherBCBS OF KANSAS
KS100097920AOtherUNICARE
KS045907OtherCOVENTRYCARES OF KANSAS
KS600000403OtherRAILROAD MEDICARE
KS100097920AMedicaid
KS012804Medicare PIN