Provider Demographics
NPI:1952357808
Name:COUNTY OF CLOUD
Entity Type:Organization
Organization Name:COUNTY OF CLOUD
Other - Org Name:CLOUD COUNTY HEALTH DEPT. & HOME HEALTH AGENCY
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SULANKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-243-8140
Mailing Address - Street 1:910 W. 11TH STREET
Mailing Address - Street 2:
Mailing Address - City:CONCORDIA
Mailing Address - State:KS
Mailing Address - Zip Code:66901
Mailing Address - Country:US
Mailing Address - Phone:785-243-8140
Mailing Address - Fax:785-243-8149
Practice Address - Street 1:910 W. 11TH STREET
Practice Address - Street 2:
Practice Address - City:CONCORDIA
Practice Address - State:KS
Practice Address - Zip Code:66901-3905
Practice Address - Country:US
Practice Address - Phone:785-243-8140
Practice Address - Fax:785-243-8149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSK.S.A. 65-5101251E00000X, 251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100089400BMedicaid
KS100070740BMedicaid
KS000253OtherBCBS HOMEHEALTH
KS100089400AMedicaid
KS012736OtherBLUE CROSS BLUE SHIELD
KS100089400AMedicaid