Organization
STAFFORD COUNTY HOSPITAL
Active
Other names
stafford county hospital home health agency
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL GOODNO (CFO)
(620) 234-5221
Entity
Organization
Contact information
Practice address
502 S BUCKEYE ST, STAFFORD, KS 67578-2035
(620) 234-5221
(620) 234-5792
Mailing address
502 SOUTH BUCKEYE STREET, PO BOX 190, STAFFORD, KS 67578-0190
(620) 234-5221
(620) 234-5792
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A093002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001176
BCBS
KS
05
—
100099380C
—
KS
05
—
100099380E
—
KS
Enumeration date
08/30/2006
Last updated
12/16/2010
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