Center For Independent Living Southwest Kansas
LBN: Center For Independent Living Southwest Kansas
Center For Independent Living Southwest Kansas is an health care organization with primary practice located at 1802 E Spruce St , Garden City KS 67846-6337. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty.
Center For Independent Living Southwest Kansas can be contacted via phone (620) 276-1900, or through Horton, Troy Alan via phone (620) 276-1900.
Contact Information
Primary practice address
1802 E Spruce St
Garden City KS 67846-6337
Phone: (620) 276-1900
Fax: (620) 271-0200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Preferred Provider Organization | 305R00000X |
Profile Details
| NPI number | 1558495325 |
|---|---|
| LBN Legal business name | Center For Independent Living Southwest Kansas |
| DBA Doing business as | |
| Authorized official | Horton, Troy Alan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Sep 30th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558495325 | NPPES |
| Kansas | MEDICAID | 100318180B | |
| Kansas | MEDICAID | 100318180C | |
| Kansas | MEDICAID | 100318180A | |
| Kansas | MEDICAID | 100318180D |
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