Healthcare Provider Details

I. General information

NPI: 1609222686
Provider Name (Legal Business Name): HOSPICE SERVICES OF NORTHWEST KANSAS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2016
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 8TH ST
PHILLIPSBURG KS
67661-2513
US

IV. Provider business mailing address

424 8TH ST
PHILLIPSBURG KS
67661-2513
US

V. Phone/Fax

Practice location:
  • Phone: 785-543-2900
  • Fax: 785-543-5688
Mailing address:
  • Phone: 785-543-2900
  • Fax: 785-543-5688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number StateKS

VIII. Authorized Official

Name: RACHEL ELISE COOMES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 785-543-2900