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NPI Code Detail

MEDICARE: OH YEAH INC

MEDICARE: OH YEAH INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency200547640AKS
2320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility200547640AKS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669893590
Entity Type Code : Organization
Provider Name (Legal Business Name) : OH YEAH INC
Provider Business Mailing Address
First Line : 122 N MAIN ST
Second Line :
City : YATES CENTER
State : KS
Zip : 66783-1422
Country : US
Telephone Number : 316-833-6656
Fax Number : 620-625-3218
Provider Business Practice Location Address
First Line : 122 N MAIN ST
Second Line :
City : YATES CENTER
State : KS
Zip : 66783-1422
Country : US
Telephone Number : 316-833-6656
Fax Number : 620-625-3218
Authorized Official
Title or Position : PRESIDENT
Name : KATHY SMITH
Credential :
Telephone Number : 316-833-6656
Provider Enumeration Date : 12/19/2013
Last Update Date : 12/19/2013

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Directions to “OH YEAH INC ” Practice Location

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