Provider Demographics
NPI:1053358796
Name:RAWLINS COUNTY HEALTH CENTER
Entity type:Organization
Organization Name:RAWLINS COUNTY HEALTH CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC BILLING CLERK
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-626-3211
Mailing Address - Street 1:707 GRANT
Mailing Address - Street 2:PO BOX 47
Mailing Address - City:ATWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:67730-0047
Mailing Address - Country:US
Mailing Address - Phone:785-626-3241
Mailing Address - Fax:785-626-3188
Practice Address - Street 1:504 OTTAWA STREET
Practice Address - Street 2:
Practice Address - City:MCDONALD
Practice Address - State:KS
Practice Address - Zip Code:67745
Practice Address - Country:US
Practice Address - Phone:785-538-2559
Practice Address - Fax:785-538-2561
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAWLINS COUNTY HEALTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-01
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100099550DMedicaid
KS173493Medicare Oscar/Certification