Provider Demographics
NPI:1750420709
Name:J C H CONSULTING INC
Entity type:Organization
Organization Name:J C H CONSULTING INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECT AND TREAS OF JCH CNSLTN
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-886-5161
Mailing Address - Street 1:530 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KIOWA
Mailing Address - State:KS
Mailing Address - Zip Code:67070-1406
Mailing Address - Country:US
Mailing Address - Phone:620-825-4782
Mailing Address - Fax:620-825-4562
Practice Address - Street 1:530 MAIN ST
Practice Address - Street 2:
Practice Address - City:KIOWA
Practice Address - State:KS
Practice Address - Zip Code:67070-1406
Practice Address - Country:US
Practice Address - Phone:620-825-4782
Practice Address - Fax:620-825-4562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336L0003X, 333600000X
KS2098373336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1703481OtherNCPDP PROVIDER IDENTIFICATION NUMBER
KS10445490AMedicaid
KS10445490BMedicaid
KS10445490AMedicaid