Organization
GOVE COUNTY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD Q BERGLING (CEO)
(785) 754-3341
Entity
Organization
Contact information
Practice address
520 W 5TH STREET, QUINTER, KS 67752-0129
(785) 754-3341
(785) 754-3329
Mailing address
PO BOX 129, 520 W 5TH STREET, QUINTER, KS 67752-0129
(785) 754-3341
(785) 754-3329
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
H032001
KS
251E00000X
Home Health Agency
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000674
BLUE CROSS
KS
05
—
5830130701
—
KS
Enumeration date
06/19/2006
Last updated
06/25/2014
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