Provider Demographics
NPI:1730112509
Name:GEARY COUNTY HOSPITAL
Entity Type:Organization
Organization Name:GEARY COUNTY HOSPITAL
Other - Org Name:HOSPICE AT GEARY COMMUNITY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:WAHLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:785-762-2653
Mailing Address - Street 1:1310 W ASH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:JUNCTION CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66441-3466
Mailing Address - Country:US
Mailing Address - Phone:785-762-2653
Mailing Address - Fax:785-238-2685
Practice Address - Street 1:1310 W ASH ST
Practice Address - Street 2:SUITE B
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441-3466
Practice Address - Country:US
Practice Address - Phone:785-762-2653
Practice Address - Fax:785-238-2685
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GEARY COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-07
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS614OtherBLUE CROSS HOSPICE
KS100067220HMedicaid
KS171567Medicare Oscar/Certification