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NPI Code Detail

MEDICARE: BETHANY HOME ASSOCIATION OF LINDSBORG KANSAS

MEDICARE: BETHANY HOME ASSOCIATION OF LINDSBORG KANSAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1313M00000XNursing Facility/Intermediate Care Facility100108780AKS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033102165
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETHANY HOME ASSOCIATION OF LINDSBORG KANSAS
Provider Business Mailing Address
First Line : 321 N CHESTNUT ST
Second Line :
City : LINDSBORG
State : KS
Zip : 67456-1904
Country : US
Telephone Number : 785-227-2892
Fax Number : 785-227-3138
Provider Business Practice Location Address
First Line : 321 N CHESTNUT ST
Second Line :
City : LINDSBORG
State : KS
Zip : 67456-1904
Country : US
Telephone Number : 785-227-2892
Fax Number : 785-227-3138
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. MARLIN JOHNSON
Credential :
Telephone Number : 785-227-2892
Provider Enumeration Date : 08/24/2005
Last Update Date : 09/08/2008

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Directions to “BETHANY HOME ASSOCIATION OF LINDSBORG KANSAS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.