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Organization

COUNTY OF MARSHALL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHERYL SKALLA RN (ADMINISTRATOR)
(785) 562-3485
Entity
Organization

Contact information

Practice address
600 BROADWAY, MARYSVILLE, KS 66508-1840
(785) 562-3485
(785) 562-9984
Mailing address
600 BROADWAY, MARYSVILLE, KS 66508-1840
(785) 562-3485
(785) 562-9984

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
0419868
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
012745
BLUE CROSS BLUE SHIELD
KS
05
100097720A
KS
01
600000946
RAILROAD MEDICARE
KS
01
629900
FIRSTGUARD
KS
Enumeration date
06/11/2006
Last updated
06/19/2025
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