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Organization

ALLEN COUNTY KANSAS HOSPITAL

Active
Parent organization
ALLEN COUNTY KANSAS
Other names
Allen County Regional Hospice
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALLEN COUNTY KANSAS
Authorized official
MR. LARRY R. PETERSON (CFO)
(620) 365-1026
Entity
Organization

Contact information

Practice address
826 E MADISON AVE, IOLA, KS 66749-3555
(620) 365-2120
(620) 365-2126
Mailing address
826 E MADISON AVE, IOLA, KS 66749-3555
(620) 365-2120
(620) 365-2126

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001472
BLUE CROSS HOSPICE
05
100457200C
KS
Enumeration date
08/07/2006
Last updated
07/24/2014
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