Organization
COUNTY OF DECATUR
Active
Other names
Decatur County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARILYN M GAMBLIN RN (ADMINISTRATOR)
(785) 475-8118
Entity
Organization
Contact information
Practice address
902 W COLUMBIA ST, OBERLIN, KS 67749-2412
(785) 475-8118
(785) 475-8143
Mailing address
902 W COLUMBIA ST, OBERLIN, KS 67749-2412
(785) 475-8118
(785) 475-8143
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012748
BLUE CROSS BLUE SHIELD
KS
05
—
100089260
—
KS
Enumeration date
09/22/2005
Last updated
10/07/2008
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