Organization
SOUTHEAST KANSAS MENTAL HEALTH CENTER
Active
Organization
SOUTHEAST KANSAS MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA BENNETT (DIRECTOR OF OFFICE OPERATIONS)
(620) 365-8641
Entity
Organization
Contact information
Practice address
1106 S 9TH ST, HUMBOLDT, KS 66748-1934
(620) 473-2241
(620) 473-3334
Mailing address
1106 S 9TH ST, HUMBOLDT, KS 66748-1934
(620) 473-2241
(620) 473-3334
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006901
BLUE SHIELD
KS
05
—
100098050D
—
KS
Enumeration date
02/12/2007
Last updated
05/03/2024
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