Organization
COUNTY OF WILSON
Active
Parent organization
WILSON COUNTY HEALTH DEPARTMENT
Other names
Wilson County Health Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILSON COUNTY HEALTH DEPARTMENT
Authorized official
MR. TODD DURHAM RN (ADMINISTRATOR)
(620) 378-4455
Entity
Organization
Contact information
Practice address
421 N 7TH ST, FREDONIA, KS 66736-1342
(620) 378-4455
(620) 378-4647
Mailing address
421 N 7TH ST, FREDONIA, KS 66736-1342
(620) 378-4455
(620) 378-4647
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11550
PREFERRED HEALTH PROVIDER
KS
01
—
12769
BC&BS PROVIDER NUMBER
KS
01
—
460089
CHILDRENS MERCY
KS
Enumeration date
05/18/2006
Last updated
11/29/2007
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