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Organization
FOUR COUNTY MENTAL HEALTH CENTER
Active
Organization
FOUR COUNTY MENTAL HEALTH CENTER
Active
Other names
Connections
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG HENNEN (EXECUTIVE DIRECTOR)
(620) 331-1748
Entity
Organization
Contact information
Practice address
3354 HIGHWAY 160, INDEPENDENCE, KS 67301-7841
(620) 331-1748
Mailing address
PO BOX 688, INDEPENDENCE, KS 67301-0688
(620) 331-1748
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097980E
—
KS
Enumeration date
03/23/2007
Last updated
04/29/2022
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