Provider Demographics
NPI:1457393019
Name:COUNTY OF MARSHALL
Entity type:Organization
Organization Name:COUNTY OF MARSHALL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:R N
Authorized Official - Phone:785-562-3485
Mailing Address - Street 1:600 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:66508-1840
Mailing Address - Country:US
Mailing Address - Phone:785-562-3485
Mailing Address - Fax:785-562-9984
Practice Address - Street 1:600 BROADWAY
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:KS
Practice Address - Zip Code:66508-1840
Practice Address - Country:US
Practice Address - Phone:785-562-3485
Practice Address - Fax:785-562-9984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0419868251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS629900OtherFIRSTGUARD
KS100097720AMedicaid
KS600000946OtherRAILROAD MEDICARE
KS012745OtherBLUE CROSS BLUE SHIELD
KS100097720AMedicaid