Provider Demographics
NPI:1144299876
Name:COUNTY OF OSBORNE
Entity type:Organization
Organization Name:COUNTY OF OSBORNE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:785-346-2412
Mailing Address - Street 1:115 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:OSBORNE
Mailing Address - State:KS
Mailing Address - Zip Code:67473-2001
Mailing Address - Country:US
Mailing Address - Phone:785-346-2412
Mailing Address - Fax:785-346-5638
Practice Address - Street 1:115 N 1ST ST
Practice Address - Street 2:
Practice Address - City:OSBORNE
Practice Address - State:KS
Practice Address - Zip Code:67473-2001
Practice Address - Country:US
Practice Address - Phone:785-346-2412
Practice Address - Fax:785-346-5638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100091710AMedicaid
KS100091710AMedicaid