# WICHITA COUNTY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629069844
- **Authorized official:** MRS. AMANDA BAKER (CFO)
- **Authorized official phone:** (620) 375-2233

## Contact information

- **Practice address:** 211 E EARL ST, LEOTI, KS 67861-9620
- **Practice address phone:** (620) 375-2233
- **Mailing address:** RR 2 BOX 38, 211 EAST EARL ST, LEOTI, KS 67861-9504
- **Mailing address phone:** (620) 375-4600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | H102001 | KS | Yes |

## Other

- **Enumeration date:** 11/04/2005
- **Last updated:** 11/24/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100107220A | — | KS |