Provider Demographics
NPI:1396713665
Name:COUNTY OF WASHINGTON
Entity type:Organization
Organization Name:COUNTY OF WASHINGTON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN, WASHINGTON CO. COMMISSION
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:MUELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-325-2974
Mailing Address - Street 1:115 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:66968-1921
Mailing Address - Country:US
Mailing Address - Phone:785-325-2600
Mailing Address - Fax:785-325-2688
Practice Address - Street 1:115 W 3RD ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:KS
Practice Address - Zip Code:66968-1921
Practice Address - Country:US
Practice Address - Phone:785-325-2600
Practice Address - Fax:785-325-2688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100116280AMedicaid
KS119965OtherBLUE CROSS BLUE SHIELD
KS100089250BMedicaid
KS000270OtherBCBS HOME HEALTH
KS7317OtherPRIVATE INSURANCES
KS100089250AMedicaid
KS177021Medicare ID - Type UnspecifiedMEDICARE HOME HEALTH
KS119965OtherBLUE CROSS BLUE SHIELD