Provider Demographics
NPI:1023119377
Name:NEMAHA COUNTY COMMUNITY HEALTH SERVICES INC.
Entity type:Organization
Organization Name:NEMAHA COUNTY COMMUNITY HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:IONE
Authorized Official - Last Name:SUNDERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:785-284-2152
Mailing Address - Street 1:PO BOX 146
Mailing Address - Street 2:
Mailing Address - City:SABETHA
Mailing Address - State:KS
Mailing Address - Zip Code:66534-0146
Mailing Address - Country:US
Mailing Address - Phone:785-284-2152
Mailing Address - Fax:785-284-3827
Practice Address - Street 1:1004 MAIN ST
Practice Address - Street 2:
Practice Address - City:SABETHA
Practice Address - State:KS
Practice Address - Zip Code:66534-1831
Practice Address - Country:US
Practice Address - Phone:785-284-2152
Practice Address - Fax:785-284-3827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
119956OtherBLUE CROSS BLUE SHIELD
640530OtherFIRST GUARD
KS1006715Medicaid
130191Medicare ID - Type Unspecified