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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