Organization
WICHITA COUNTY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA BAKER (CFO)
(620) 375-2233
Entity
Organization
Contact information
Practice address
211 E EARL ST, LEOTI, KS 67861-9620
(620) 375-2233
Mailing address
RR 2 BOX 38, 211 EAST EARL ST, LEOTI, KS 67861-9504
(620) 375-4600
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
H102001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107220A
—
KS
Enumeration date
11/04/2005
Last updated
11/24/2020
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