Organization
THI OF KANSAS AT WICHITA SPECIALTY, LLC
Active
Other names
Wichita Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN ROBY (PRESIDENT)
(316) 682-0004
Entity
Organization
Contact information
Practice address
8080 E PAWNEE ST, WICHITA, KS 67207-5475
(316) 682-0004
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
(410) 773-1321
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
H087007
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200539570A
—
KS
Enumeration date
06/04/2006
Last updated
04/23/2008
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