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Organization

COUNTY OF CLAY

Active
Other names
Clay County Health Department
Organization subpart
No

Provider details

NPI number
Authorized official
DANA RICKLEY (COUNTY HEALTH ADMINISTRATOR)
(785) 632-3193
Entity
Organization

Contact information

Practice address
820 SPELLMAN CIR, CLAY CENTER, KS 67432-7492
(785) 632-3193
(785) 632-5849
Mailing address
820 SPELLMAN CIR, CLAY CENTER, KS 67432-7492
(785) 632-3193
(785) 632-5849

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100115070A
KS
05
100115070D
KS
01
12724
BLUECROSS/BLUESHIELD KS
KS
01
460005
HEALTHWAVE
KS
01
642610
FIRSTGUARD/HEALTH WAVE
KS
01
UNICARE
HEALTHWAVE
KS
Enumeration date
07/05/2005
Last updated
02/15/2019
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