Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health, State or Local |
261QP0905X |
| NPI Number | 1528074499 |
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| LBN Legal business name | SHAWNEE COUNTY (MEDICAID PART C) | ||||
| Authorized official | EDITH GAINES - (FINANCE OFFICER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 07/31/2006 | ||||
| Last updated | 09/24/2018 - About 8 years ago | ||||
| Identifiers |
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