Organization
GRAY COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYNA MADDOX RN (DIRECTOR/ADMINISTRATOR)
(620) 855-2424
Entity
Organization
Contact information
Practice address
300 SOUTH MAIN, CIMARRON, KS 67835-0487
(620) 855-2424
(620) 855-7007
Mailing address
300 SOUTH MAIN, CIMARRON, KS 67835-0487
(620) 855-2424
(620) 855-7007
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100113640A
—
KS
Enumeration date
02/12/2013
Last updated
02/12/2013
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