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NPI 1003819764

NPI 1003819764 : HOSPICE SERVICES OF NORTHWEST KANSAS INC : PHILLIPSBURG, KS

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General NPI Number Information
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    NPI Number           |    1003819764
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOSPICE SERVICES OF NORTHWEST KANSAS INC 
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Dates
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    Enumeration Date     |    05/24/2005
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    Last Update Date     |    08/04/2025
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Provider Practice Location Address
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    Address Line         |    424 8TH ST 
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    City                 |    PHILLIPSBURG
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    State                |    KS
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    Zip                  |    67661-2513
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    Country              |    US
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    Telephone            |    785-543-2900
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    Fax                  |    785-543-5688
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Provider Business Mailing Address
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    Address Line         |    424 8TH ST PO BOX 116
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    City                 |    PHILLIPSBURG
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    State                |    KS
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    Zip                  |    67661-2513
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    Country              |    US
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    Telephone            |    785-543-2900
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    Fax                  |    785-543-5688
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     RACHEL ELISE COOMES 
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    Credential           |    
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    Telephone            |    785-543-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251G00000X
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    Taxonomy Name        |    Community Based Hospice Care Agency
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    License Number       |    
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    License Number State |    KS
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