Provider Demographics
NPI:1295075851
Name:MEALS ON WHEELS OF BARTON COUNTY
Entity type:Organization
Organization Name:MEALS ON WHEELS OF BARTON COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:H
Authorized Official - Last Name:BAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-792-1833
Mailing Address - Street 1:1025 MAIN ST # D114
Mailing Address - Street 2:
Mailing Address - City:GREAT BEND
Mailing Address - State:KS
Mailing Address - Zip Code:67530-4429
Mailing Address - Country:US
Mailing Address - Phone:620-792-1833
Mailing Address - Fax:620-793-7689
Practice Address - Street 1:1025 MAIN ST # D114
Practice Address - Street 2:
Practice Address - City:GREAT BEND
Practice Address - State:KS
Practice Address - Zip Code:67530-4429
Practice Address - Country:US
Practice Address - Phone:620-792-1833
Practice Address - Fax:620-793-7689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200738350AMedicaid