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NPI Code Detail

MEDICARE: YATES OPERATOR, LLC

MEDICARE: YATES OPERATOR, 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
1314000000XSkilled Nursing Facility

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 : 1326220492
Entity Type Code : Organization
Provider Name (Legal Business Name) : YATES OPERATOR, LLC
Provider Business Mailing Address
First Line : 801 S. FRY ST
Second Line :
City : YATES CENTER
State : KS
Zip : 66783-1640
Country : US
Telephone Number : 620-625-2111
Fax Number : 620-625-3630
Provider Business Practice Location Address
First Line : 801 S. FRY ST
Second Line :
City : YATES CENTER
State : KS
Zip : 66783-1640
Country : US
Telephone Number : 620-625-2111
Fax Number : 620-625-3630
Authorized Official
Title or Position : CEO
Name : MR. STUART LINDEMAN
Credential :
Telephone Number : 813-440-8345
Provider Enumeration Date : 11/30/2007
Last Update Date : 08/14/2015

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