Provider Demographics
NPI:1841306677
Name:GREELEY COUNTY HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:GREELEY COUNTY HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE COMPLIANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-376-4221
Mailing Address - Street 1:PO BOX 338
Mailing Address - Street 2:
Mailing Address - City:TRIBUNE
Mailing Address - State:KS
Mailing Address - Zip Code:67879-0338
Mailing Address - Country:US
Mailing Address - Phone:620-376-4221
Mailing Address - Fax:620-376-2406
Practice Address - Street 1:506 THIRD ST.
Practice Address - Street 2:
Practice Address - City:TRIBUNE
Practice Address - State:KS
Practice Address - Zip Code:67879
Practice Address - Country:US
Practice Address - Phone:620-376-4221
Practice Address - Fax:620-376-2406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH-036-001282NC0060X, 275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1648OtherBLUE CROSS SWINGBED PROVI
KS1648OtherBLUE CROSS SWINGBED PROVI