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Organization
GOVE COUNTY MEDICAL CENTER
Active
Organization
GOVE COUNTY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD Q BERGLING (CEO)
(785) 754-3341
Entity
Organization
Contact information
Practice address
520 W 5TH STREET, QUINTER, KS 67752-0129
(785) 754-3341
(785) 754-3329
Mailing address
PO BOX 129, 520 W 5TH STREET, QUINTER, KS 67752-0129
(785) 754-3341
(785) 754-3329
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
H032001
KS
207L00000X
Anesthesiology Physician
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043289
BCBS -ANES-ABBOTT
KS
05
—
100099330C
—
KS
01
—
144541
BCBS-ANES-WERTZ
KS
01
—
145129
BCBS-ANES-SEILER
KS
Enumeration date
10/25/2006
Last updated
06/25/2014
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