Provider Demographics
NPI:1669464087
Name:COUNTY OF RAWLINS
Entity Type:Organization
Organization Name:COUNTY OF RAWLINS
Other - Org Name:RAWLINS COUNTY PUBLIC HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BSN,RN,ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEBLE
Authorized Official - Suffix:
Authorized Official - Credentials:BSN,RN
Authorized Official - Phone:785-626-3968
Mailing Address - Street 1:216 S. 4TH STREET
Mailing Address - Street 2:
Mailing Address - City:ATWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:67730
Mailing Address - Country:US
Mailing Address - Phone:785-626-3968
Mailing Address - Fax:785-626-3876
Practice Address - Street 1:216 S. 4TH STREET
Practice Address - Street 2:
Practice Address - City:ATWOOD
Practice Address - State:KS
Practice Address - Zip Code:67730
Practice Address - Country:US
Practice Address - Phone:785-626-3968
Practice Address - Fax:785-626-3876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-22
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS48-6029925261QH0100X
261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS012743OtherBLUE CROSS BLUE SHIELD
KS100091430AMedicaid
KS100091430AMedicaid