=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982678827
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KANSAS REHABILITATION HOSPITAL INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/15/2006
-----------------------------------------------------
Last Update Date | 11/19/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1504 SW 8TH AVE
-----------------------------------------------------
City | TOPEKA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66606
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-235-6600
-----------------------------------------------------
Fax | 785-232-8545
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9001 LIBERTY PKWY
-----------------------------------------------------
City | BIRMINGHAM
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35242-7509
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-967-7116
-----------------------------------------------------
Fax | 205-969-6650
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VP
-----------------------------------------------------
Name | ROBERT W MCCALLUM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 205-970-5669
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 283X00000X
-----------------------------------------------------
Taxonomy Name | Rehabilitation Hospital
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------