# FORT HAYS STATE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NO
- **Other names:** Herndon Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811101454
- **Legal business name:** NO
- **Authorized official:** DR. JAYNE M. BRANDEL PH.D, CCC-SLP (CHAIR)
- **Authorized official phone:** (785) 628-5366

## Contact information

- **Practice address:** 600 PARK ST, HERNDON CLINIC ALBERTSON HALL 131, HAYS, KS 67601-4009
- **Practice address phone:** (785) 628-5366
- **Practice address fax:** (785) 628-5271
- **Mailing address:** 600 PARK ST, HERNDON CLINIC ALBERTSON HALL 131, HAYS, KS 67601-4009
- **Mailing address phone:** (785) 628-5366
- **Mailing address fax:** (785) 628-5271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 08/05/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 116209 | BLUE CROSS BLUE SHIELD | KS |