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Organization
WEST CENTRAL KANSAS ASSOCIATION, INC.
Active
Organization
WEST CENTRAL KANSAS ASSOCIATION, INC.
Active
Other names
Russell Regional Hospital Main Street Manor
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CAUDILL (CEO)
(785) 483-0708
Entity
Organization
Contact information
Practice address
200 S MAIN ST, RUSSELL, KS 67665-2920
(785) 483-3131
(785) 483-4859
Mailing address
200 S MAIN ST, RUSSELL, KS 67665-2920
(785) 483-3131
(785) 483-4859
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
H084001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100445660A
—
KS
Enumeration date
07/28/2006
Last updated
11/16/2022
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