Provider Demographics
NPI:1215676457
Name:SOCIAL WELFARE BOARD OF THE COUNTY OF BUCHANAN
Entity type:Organization
Organization Name:SOCIAL WELFARE BOARD OF THE COUNTY OF BUCHANAN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LATHA
Authorized Official - Middle Name:
Authorized Official - Last Name:VARGHESE
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN, NP-C
Authorized Official - Phone:816-233-5188
Mailing Address - Street 1:904 S 10TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64503-2400
Mailing Address - Country:US
Mailing Address - Phone:816-233-5188
Mailing Address - Fax:816-233-5296
Practice Address - Street 1:904 S 10TH ST STE A
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64503-2400
Practice Address - Country:US
Practice Address - Phone:816-233-5188
Practice Address - Fax:816-233-5296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-03
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local