Organization
COUNTY OF MONTGOMERY
Active
Other names
Montgomery County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN MARIE MULLER (ADMINISTRATOR)
(620) 251-4210
Entity
Organization
Contact information
Practice address
908 WALNUT ST, COFFEYVILLE, KS 67337-5827
(620) 251-4210
(620) 251-6708
Mailing address
908 WALNUT ST, COFFEYVILLE, KS 67337-5827
(620) 251-4210
(620) 251-6708
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100297640A
—
DE
05
—
100297640B
—
KS
01
—
47163
BCBS OF KANSAS
KS
Enumeration date
09/21/2006
Last updated
03/02/2018
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