Four County Mental Health Center
Organization Active NPI Home Health Agency · Independence, KS
NPI 1235453614 · NPPES record last updated Nov 11, 2011
Key facts
- NPI
- 1235453614
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- A103009 (KS)
- Legal business name
- FOUR COUNTY MENTAL HEALTH CENTER
- Practice address
- 415 Fruitland
Independence, KS 67301 - Phone
- (620) 332-8584
- NPI assigned
- Mar 15, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Greg Hennen
- Title
- Executive Director
- Phone
- (620) 331-1748
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Four County Mental Heal
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | A103009 | KS | Yes |
Addresses
Primary practice location
415 Fruitland
Independence, KS 67301
Mailing address
PO Box 688
Independence, KS 67301-0688
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100097980V | Medicaid | KS |
Other names
- Active Partners In Home Services
Other providers in Independence, KS
- Mary Elizabeth Flood
- Jennifer Foraker
- Linda L Forbes
- Kandace Lynn Foreman
- Four County Mental Health Center
- Four County Mental Health Center
- Four County Mental Health Center
- Four County Mental Health Center Inc
- Four County Mental Health Center, Inc.
- Four County Mental Health Center, Inc.
All providers in Independence, KS · Home Health Agency in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.