Healthcare Provider Details

I. General information

NPI: 1003819764
Provider Name (Legal Business Name): HOSPICE SERVICES OF NORTHWEST KANSAS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2005
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 PO BOX 116
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 Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateKS

VIII. Authorized Official

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