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Organization

CITY OF STOCKTON

Active
Other names
Solomon Valley Manor
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEITH SCHLAEGEL (CITY MANAGER)
(785) 425-6703
Entity
Organization

Contact information

Practice address
315 S ASH ST, STOCKTON, KS 67669-2136
(785) 425-6754
(785) 425-6755
Mailing address
315 S ASH ST, STOCKTON, KS 67669-2136
(785) 425-6754
(785) 425-6755

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
N082002
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001654
BCBSKS (SNF)
KS
01
048199
BCBSKS (DME)
KS
05
100110720A
KS
01
17E637
MEDICAID NUMBER
KS
Enumeration date
08/31/2006
Last updated
09/25/2012
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