National Provider Identifier Database

CENTER FOR INDEPENDENT LIVING SOUTHWEST KANSAS
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

CENTER FOR INDEPENDENT LIVING SOUTHWEST KANSAS
1802 E SPRUCE ST
GARDEN CITY, KS67846-6337
Phone: 620-276-1900
Fax: 620-271-0200
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for CENTER FOR INDEPENDENT LIVING SOUTHWEST KANSAS

NPI Number 1558495325
Legal business name
LBN
CENTER FOR INDEPENDENT LIVING SOUTHWEST KANSAS
Authorized official TROY HORTON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/15/2007
Last updated 09/30/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • KS Medicaid: 100318180A
  • KS Medicaid: 100318180B
  • KS Medicaid: 100318180C
  • KS Medicaid: 100318180D

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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