MEDICARE: ALLSTATE HEALTHCARE SERVICES 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
1	332B00000X	Durable Medical Equipment & Medical Supplies		KS

General Provider Information

NPI Number	:	1831197870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLSTATE HEALTHCARE SERVICES INC

Provider Business Mailing Address
First Line	:	302 NORTH FLEMING ST
Second Line	:	SUITE 8-D
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-6162
Country	:	US
Telephone Number	:	620-275-9990
Fax Number	:	620-275-9992

Provider Business Practice Location Address
First Line	:	302 FLEMING ST
Second Line	:	SUITE 8-D
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-6162
Country	:	US
Telephone Number	:	620-275-9990
Fax Number	:	620-275-9992

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. KATE KOKO
Credential	:
Telephone Number	:	620-275-9990

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	04/23/2008

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