# DERBY HEALTH & REHABILITATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316177959
- **Authorized official:** FRED HERMES (CEO)
- **Authorized official phone:** (316) 773-1313

## Contact information

- **Practice address:** 731 KLEIN CIR, DERBY, KS 67037-7011
- **Practice address phone:** (316) 773-1313
- **Practice address fax:** (316) 295-4379
- **Mailing address:** 7200 W 13TH ST N STE 10, WICHITA, KS 67212-2968
- **Mailing address phone:** (316) 773-1313
- **Mailing address fax:** (316) 295-4379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/16/2009
- **Last updated:** 03/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200637500A | — | KS |