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NPI Code Detail

MEDICARE: FRANKFORT COMMUNITY CARE HOME, INC.

MEDICARE: FRANKFORT COMMUNITY CARE HOME, 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 FacilityN058002KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1001342OTHERKSBCBS SNF BILLING
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3018518OTHERKSBCBS DME BILLING
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831184829
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRANKFORT COMMUNITY CARE HOME, INC.
Provider Business Mailing Address
First Line : 510 N WALNUT
Second Line :
City : FRANKFORT
State : KS
Zip : 66427-1446
Country : US
Telephone Number : 785-292-4442
Fax Number : 785-292-4400
Provider Business Practice Location Address
First Line : 510 N WALNUT
Second Line :
City : FRANKFORT
State : KS
Zip : 66427-1446
Country : US
Telephone Number : 785-292-4442
Fax Number : 785-292-4400
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. LAURA MARIE O'NEIL
Credential : RN BSN
Telephone Number : 785-292-4442
Provider Enumeration Date : 09/15/2005
Last Update Date : 11/21/2011

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1841256732 — CITY OF FRANKFORT
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1497847024 — TIM MINGES, MD, CHARTERED
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Directions to “FRANKFORT COMMUNITY CARE HOME, INC. ” Practice Location

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