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NPI Code Detail

MEDICARE: HEALTH MANAGEMENT OF KANSAS, INC.

MEDICARE: HEALTH MANAGEMENT OF KANSAS, INC.
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 FacilityN-063-010KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000952OTHERKSBCBS KS

General Provider Information

NPI Number : 1487638540
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH MANAGEMENT OF KANSAS, INC.
Provider Business Mailing Address
First Line : 2921 W 1ST ST
Second Line :
City : COFFEYVILLE
State : KS
Zip : 67337-2441
Country : US
Telephone Number : 620-251-5190
Fax Number : 620-251-5029
Provider Business Practice Location Address
First Line : 2921 W 1ST ST
Second Line :
City : COFFEYVILLE
State : KS
Zip : 67337-2441
Country : US
Telephone Number : 620-251-5190
Fax Number : 620-251-5029
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MONTE COFFMAN
Credential :
Telephone Number : 620-251-5190
Provider Enumeration Date : 12/02/2005
Last Update Date : 01/28/2014

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Directions to “HEALTH MANAGEMENT OF KANSAS, INC. ” Practice Location

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