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General NPI Number Information
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NPI Number | 1962410241
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Entity Type | Organization
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Legal Business Name | CITIZENS MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 02/12/2016
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Provider Practice Location Address
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Address Line | 1625 S. FRANKLIN AVENUE, CITIZENS MEDICAL CENTER, INC. DBA CITIZENS MEDICAL CENTER LTCU,
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City | COLBY
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State | KS
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Zip | 67701
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Country | US
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Telephone | 785-462-8295
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Fax | 785-460-1435
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Provider Business Mailing Address
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Address Line | 1625 S FRANKLIN AVE
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City | COLBY
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State | KS
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Zip | 67701-3722
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Country | US
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Telephone | 785-462-8295
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Fax | 785-460-1435
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Authorized Official
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Title or Position | CEO
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Name | MR. GREG UNRUH
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Credential |
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Telephone | 785-460-4801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | H097101
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | KS
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