Provider Demographics
NPI:1922538263
Name:GOVE COUNTY MEDICAL EQUIPMENT & SUPPLIES
Entity Type:Organization
Organization Name:GOVE COUNTY MEDICAL EQUIPMENT & SUPPLIES
Other - Org Name:GOVE COUNTY MEDICAL EQUIPMENT & SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:COLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TUMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-754-3341
Mailing Address - Street 1:520 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:QUINTER
Mailing Address - State:KS
Mailing Address - Zip Code:67752-9705
Mailing Address - Country:US
Mailing Address - Phone:785-754-5178
Mailing Address - Fax:
Practice Address - Street 1:520 W 5TH ST
Practice Address - Street 2:
Practice Address - City:QUINTER
Practice Address - State:KS
Practice Address - Zip Code:67752-9705
Practice Address - Country:US
Practice Address - Phone:785-754-5178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOVE COUNTY MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies