Organization
STATE OF KANSAS
Active
Parent organization
STATE OF KANSAS DBA RAINBOW MENTAL HEALTH FACILITY
Other names
RAINBOW MENTAL HEALTH FACILITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF KANSAS DBA RAINBOW MENTAL HEALTH FACILITY
Authorized official
MR. STEVEN D. ASHCRAFT (SUPERINTENDENT)
(913) 755-7073
Entity
Organization
Contact information
Practice address
2205 WEST 36TH AVE, KANSAS CITY, KS 66103-2198
(913) 789-5800
(913) 755-7127
Mailing address
500 STATE HOSPITAL DRIVE, OSAWATOMIE, KS 66064-0500
(913) 755-7312
(913) 755-7127
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
M105001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101140A
—
KS
Enumeration date
05/24/2005
Last updated
07/30/2012
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