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NPI Code Detail

MEDICARE: NORTHLAND LTACH, LLC

MEDICARE: NORTHLAND LTACH, LLC
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
1282E00000XLong Term Care Hospital

General Provider Information

NPI Number : 1265612188
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHLAND LTACH, LLC
Provider Business Mailing Address
First Line : 500 NW 68TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-2455
Country : US
Telephone Number : 816-420-6300
Fax Number : 816-420-6360
Provider Business Practice Location Address
First Line : 500 NW 68TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-2455
Country : US
Telephone Number : 816-420-6300
Fax Number : 816-420-6360
Authorized Official
Title or Position : VICE PRESIDENT, CORPORATE SECRETARY
Name : KATHY TEAGUE
Credential :
Telephone Number : 629-253-5121
Provider Enumeration Date : 11/08/2007
Last Update Date : 03/11/2024

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Directions to “NORTHLAND LTACH, LLC ” Practice Location

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