Provider Demographics
NPI:1891052759
Name:FINNEY COUNTY EMPLOYEE CLINIC
Entity Type:Organization
Organization Name:FINNEY COUNTY EMPLOYEE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-272-3600
Mailing Address - Street 1:919 W ZERR RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-2777
Mailing Address - Country:US
Mailing Address - Phone:620-272-3600
Mailing Address - Fax:620-272-3606
Practice Address - Street 1:919 W ZERR RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-2777
Practice Address - Country:US
Practice Address - Phone:620-272-3600
Practice Address - Fax:620-272-3606
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FINNEY COUNTY HEALTH DEPT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-17
Last Update Date:2012-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44445364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute CareGroup - Single Specialty