=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932194982
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RICE COUNTY HOSPITAL DISTRICT NO 2
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/15/2005
-----------------------------------------------------
Last Update Date | 06/19/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 440 STATE ST
-----------------------------------------------------
City | LITTLE RIVER
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67457-9158
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 620-897-6266
-----------------------------------------------------
Fax | 620-897-6262
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 440 STATE ST
-----------------------------------------------------
City | LITTLE RIVER
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67457-0000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 620-897-6266
-----------------------------------------------------
Fax | 620-897-6262
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MRS. KAREN I HALBERT
-----------------------------------------------------
Credential | RN.,LACHA
-----------------------------------------------------
Telephone | 620-897-6266
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number | N080002
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------