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Contact Information

GLENWOOD ESTATE, INC.
1000 MULBERRY ST
INDEPENDENCE, KS67301-2026
 Phone: 620-331-8789
 Fax: 620-331-6895
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for GLENWOOD ESTATE, INC.

NPI Number 1932157708
LBN Legal business name GLENWOOD ESTATE, INC.
Authorized official MARY POLLOCK - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/04/2006
Last updated 04/27/2009 - About 17 years ago
Identifiers
KS License # N063017
KS Medicaid 100108260A
KS Other 800 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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