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NPI Code Detail

MEDICARE: CENTER FOR INDEPENDENT LIVIND FOR SW KS

MEDICARE: CENTER FOR INDEPENDENT LIVIND FOR SW KS
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
1251B00000XCase Management AgencyKS

General Provider Information

NPI Number : 1285638858
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR INDEPENDENT LIVIND FOR SW KS
Provider Business Mailing Address
First Line : 111 W GRANT AVE
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-5412
Country : US
Telephone Number : 620-276-1900
Fax Number : 620-271-0200
Provider Business Practice Location Address
First Line : 111 W GRANT AVE
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-5412
Country : US
Telephone Number : 620-276-1900
Fax Number : 620-271-0200
Authorized Official
Title or Position : FINANCIAL ADMINISTRATOR
Name : MR. DON L LOBMEYER
Credential :
Telephone Number : 620-276-1900
Provider Enumeration Date : 06/10/2005
Last Update Date : 08/22/2020

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Directions to “CENTER FOR INDEPENDENT LIVIND FOR SW KS ” 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.

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