Organization
COUNTY OF GRAY
Active
Other names
Gray County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAYNA MADDOX RN (DIRECTOR)
(620) 855-2424
Entity
Organization
Contact information
Practice address
300 S. MAIN, CIMARRON, KS 67835-0487
(620) 855-2424
(620) 855-7007
Mailing address
PO BOX 487, 300 S. MAIN, CIMARRON, KS 67835-0487
(620) 855-2424
(620) 855-7007
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100113640A
—
KS
01
—
12746
BLUE CROSS/BLUE SHIELD
KS
01
—
629540
FIRST GUARD
KS
Enumeration date
01/26/2006
Last updated
07/21/2022
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