Provider Demographics
NPI:1760445829
Name:COUNTY OF WICHITA
Entity Type:Organization
Organization Name:COUNTY OF WICHITA
Other - Org Name:WICHITA COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LEANNA
Authorized Official - Middle Name:F
Authorized Official - Last Name:BINNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-375-2289
Mailing Address - Street 1:104 S. INDIAN RD.
Mailing Address - Street 2:
Mailing Address - City:LEOTI
Mailing Address - State:KS
Mailing Address - Zip Code:67861
Mailing Address - Country:US
Mailing Address - Phone:620-375-2289
Mailing Address - Fax:620-375-2826
Practice Address - Street 1:104 S. INDIAN RD.
Practice Address - Street 2:
Practice Address - City:LEOTI
Practice Address - State:KS
Practice Address - Zip Code:67861
Practice Address - Country:US
Practice Address - Phone:620-375-2289
Practice Address - Fax:620-375-2826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-10
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS 04-28583251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100330540AMedicaid
KS012791OtherPTAN