Provider Demographics
NPI:1801852843
Name:COUNTY OF GRAHAM
Entity Type:Organization
Organization Name:COUNTY OF GRAHAM
Other - Org Name:GRAHAM COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYDNEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEYDLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:785-421-3326
Mailing Address - Street 1:225 N POMEROY AVE
Mailing Address - Street 2:
Mailing Address - City:HILL CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67642-1815
Mailing Address - Country:US
Mailing Address - Phone:785-421-3326
Mailing Address - Fax:785-421-2584
Practice Address - Street 1:225 N POMEROY AVE
Practice Address - Street 2:
Practice Address - City:HILL CITY
Practice Address - State:KS
Practice Address - Zip Code:67642-1815
Practice Address - Country:US
Practice Address - Phone:785-421-3326
Practice Address - Fax:785-421-2584
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF GRAHAM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-04-26
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS012751OtherBCBS PROVIDER NUMBER
KS100115380 AMedicaid
KS012751OtherBCBS PROVIDER NUMBER