County of Wichita

Organization Active NPI Public Health or Welfare Agency · Leoti, KS

NPI 1760445829 · NPPES record last updated Jan 29, 2015

Key facts

NPI
1760445829
Entity type
Organization (NPI type 2)
Primary specialty
Public Health or Welfare Agency 251K00000X
License
KS 04-28583 (KS)
Legal business name
COUNTY OF WICHITA
Practice address
104 S. Indian Rd.
Leoti, KS 67861
Phone
(620) 375-2289
Fax
(620) 375-2826
NPI assigned
Apr 10, 2006
Organization subpart
No

Authorized official

Name
Ms. Leanna F. Binns
Title
Business Administrator
Phone
(620) 375-2289

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0667337Wichita County Health Dept
104 S Indian Road, Leoti, KS 67861
Certificate of waiverAug 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050331000943 KS Part B Supplier - Public Health/Welfare Agency 7113974213 Practice locations: Leoti, KS

National Provider Directory

Locations

104 S Indian Rd
Leoti, KS 67861
Phone (316) 375-2289

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X KS 04-28583 KS Yes

Addresses

Primary practice location

104 S. Indian Rd.
Leoti, KS 67861

Mailing address

104 S. Indian Rd.
Leoti, KS 67861
Phone (620) 375-2289

Other identifiers

IdentifierTypeStateIssuer
100330540AMedicaidKS
012791OtherKSPTAN

Other names

  • Wichita County Health Department Doing business as

Other providers in Leoti, KS

All providers in Leoti, KS · Public Health or Welfare Agency in Kansas

Sources for this page

Verify at the official NPI Registry.