Organization
BUTLER COUNTY CLERK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE E POWERS MHP (ADMINISTRATOR)
(316) 321-3400
Entity
Organization
Contact information
Practice address
206 NORTH GRIFFITH, SUITE B, EL DORADO, KS 67042-2039
(316) 321-3400
(316) 321-1338
Mailing address
206 NORTH GRIFFITH, SUITE B, EL DORADO, KS 67042-2039
(316) 321-3400
(316) 321-1338
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100243020A
—
KS
01
—
119961
BLUE CROSS
KS
Enumeration date
12/28/2006
Last updated
06/07/2012
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