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Organization

SHAWNEE COUNTY (MEDICAID PART C)

Active
Parent organization
SHAWNEE COUNTY
Organization subpart
Yes

Provider details

NPI number
Legal business name
SHAWNEE COUNTY
Authorized official
EDITH J GAINES MAFM, MPA (FINANCE OFFICER)
(785) 251-5666
Entity
Organization

Contact information

Practice address
2600 SW EAST CIRCLE DR S, SHAWNEE COUNTY (MEDICAID PART C), TOPEKA, KS 66606-2447
(785) 251-5600
(785) 251-5696
Mailing address
2600 SW EAST CIRCLE DR S, SHAWNEE COUNTY (MEDICAID PART C), TOPEKA, KS 66606-2447
(785) 251-5600
(785) 251-5696

Taxonomy

Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100089380A
KS
Enumeration date
07/31/2006
Last updated
09/24/2018
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