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Organization
COTTON-ONEIL CLINIC ENDOSCOPY CENTER RVOC TR
Active
Organization
COTTON-ONEIL CLINIC ENDOSCOPY CENTER RVOC TR
Active
Parent organization
STORMONT VAIL HEALTHCARE, INC.
Other names
Cotton O'Neil Endoscopy Center, Cotton O'Neil Digestive Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
STORMONT VAIL HEALTHCARE, INC.
Authorized official
MS. DEBRA YOCUM CPA (VICE PRESIDENT)
(785) 354-9591
Entity
Organization
Contact information
Practice address
720 SW LANE ST, TOPEKA, KS 66606
(785) 270-4884
(785) 270-4852
Mailing address
1500 SW 10TH AVE, ATTN: CORP FINANCE, TOPEKA, KS 66604-1301
(785) 354-5620
(785) 357-2878
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112218
MEDICARE PTAN
KS
05
—
200005760A
—
KS
Enumeration date
02/27/2007
Last updated
06/16/2018
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