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NPI Code Detail

MEDICARE: PINNACLE HEALTH FACILITIES XVIII LP

MEDICARE: PINNACLE HEALTH FACILITIES XVIII LP
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 FacilityKS

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 : 1922182096
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINNACLE HEALTH FACILITIES XVIII LP
Provider Business Mailing Address
First Line : 5420 W PLANO PKWY
Second Line :
City : PLANO
State : TX
Zip : 75093-4823
Country : US
Telephone Number : 972-931-3800
Fax Number : 972-767-6222
Provider Business Practice Location Address
First Line : 400 S ROGERS RD
Second Line :
City : OLATHE
State : KS
Zip : 66062-1706
Country : US
Telephone Number : 913-782-3350
Fax Number : 913-782-1732
Authorized Official
Title or Position : DIRECTOR OF REIMBURSEMENT
Name : MRS. JAMIE LATTURE COLLIER
Credential :
Telephone Number : 972-931-3800
Provider Enumeration Date : 10/25/2006
Last Update Date : 11/12/2014

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