National Provider Identifier Database

PRAIRIE INDEPENDENT LIVING RESOURCE CENTER
Voluntary or Charitable


Contact Information

PRAIRIE INDEPENDENT LIVING RESOURCE CENTER
17 S MAIN ST
HUTCHINSON, KS67501-5421
Phone: 620-663-3989
Fax: 620-663-4711
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for PRAIRIE INDEPENDENT LIVING RESOURCE CENTER

NPI Number 1295871010
Legal business name
LBN
PRAIRIE INDEPENDENT LIVING RESOURCE CENTER
Authorized official CHRISTINE OWENS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/29/2007
Last updated 11/21/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • KS Medicaid: 100317960B
  • KS Medicaid: 100317960C
  • KS Medicaid: 100317960D

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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