NPI Code Details Logo

NPI 1306826144

NPI 1306826144 : COMMONSPIRIT KANSAS, INC. : GARDEN CITY, KS

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1306826144
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    COMMONSPIRIT KANSAS, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/18/2006
-----------------------------------------------------
    Last Update Date     |    06/03/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    602 N 6TH ST 
-----------------------------------------------------
    City                 |    GARDEN CITY
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    67846-5509
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    620-272-2519
-----------------------------------------------------
    Fax                  |    620-272-2664
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    401 E SPRUCE ST 
-----------------------------------------------------
    City                 |    GARDEN CITY
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    67846-5679
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    620-272-2519
-----------------------------------------------------
    Fax                  |    620-272-2664
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VP FINANCE & CFO
-----------------------------------------------------
    Name                 |    MRS. SHAWNA R ROARK 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    620-272-2222
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251G00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Based Hospice Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.