Organization
COUNTY OF OSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE M GRAY (ADMINISTRATOR)
(785) 828-3117
Entity
Organization
Contact information
Practice address
103 E 9TH, LYNDON, KS 66451
(785) 828-3117
(785) 828-3848
Mailing address
103 E 9TH, LYNDON, KS 66451
(785) 828-3117
(785) 828-3848
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100115830A
PUBLIC HEALTH
KS
Enumeration date
05/07/2007
Last updated
06/12/2012
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