Organization
COUNTY OF THOMAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KASIAH S ROTHCHILD (FINANCE ADMINISTRATOR)
(785) 460-4596
Entity
Organization
Contact information
Practice address
350 S RANGE AVE STE 2, COLBY, KS 67701-2966
(785) 460-4596
(785) 460-4595
Mailing address
350 S RANGE AVE STE 2, COLBY, KS 67701-2966
(785) 460-4596
(785) 460-4595
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
629730
—
KS
Enumeration date
08/31/2006
Last updated
07/21/2022
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