# PHILLIPS COUNTY RETIREMENT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Phillips County Retirement Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477685162
- **Authorized official:** MRS. KRISTI KUCK (ADMINISTRATOR)
- **Authorized official phone:** (785) 543-2131

## Contact information

- **Practice address:** 1300 STATE STREET, PHILLIPSBURG, KS 67661
- **Practice address phone:** (785) 543-2131
- **Practice address fax:** (785) 543-5200
- **Mailing address:** 1300 STATE STREET, P.O. BOX 628, PHILLIPSBURG, KS 67661
- **Mailing address phone:** (785) 543-2131
- **Mailing address fax:** (785) 543-5200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | N074003 | KS | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 06/26/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110111750A | — | KS |
| 01 | — | N074003 | STATE I.D. | KS |