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Organization
WEST CENTRAL KANSAS ASSOCIATION, INC.
Active
Organization
WEST CENTRAL KANSAS ASSOCIATION, INC.
Active
Other names
Russell Regional Hospital Swingbed
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
Mailing address
200 S MAIN ST, RUSSELL, KS 67665-2920
(785) 483-3131
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
H084001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100306710A
—
KS
01
—
1639
BLUE CROSS PROVIDER NUMBE
KS
Enumeration date
04/17/2006
Last updated
11/16/2022
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