Organization
CLAY AND WASHINGTON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ED HENRY (DIRECTOR)
(785) 747-2604
Entity
Organization
Contact information
Practice address
412 PARK, BOX 219, GREENLEAF, KS 66943
(785) 747-2604
(785) 747-2424
Mailing address
PO BOX 189, GIRARD, KS 66743-0189
(888) 654-8701
(620) 724-7141
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100297910A
—
KS
Enumeration date
07/24/2006
Last updated
08/07/2008
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