# CITY OF STOCKTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Solomon Valley Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194836163
- **Authorized official:** MR. KEITH SCHLAEGEL (CITY MANAGER)
- **Authorized official phone:** (785) 425-6703

## Contact information

- **Practice address:** 315 S ASH ST, STOCKTON, KS 67669-2136
- **Practice address phone:** (785) 425-6754
- **Practice address fax:** (785) 425-6755
- **Mailing address:** 315 S ASH ST, STOCKTON, KS 67669-2136
- **Mailing address phone:** (785) 425-6754
- **Mailing address fax:** (785) 425-6755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | N082002 | KS | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 09/25/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001654 | BCBSKS (SNF) | KS |
| 01 | — | 048199 | BCBSKS (DME) | KS |
| 05 | — | 100110720A | — | KS |
| 01 | — | 17E637 | MEDICAID NUMBER | KS |