Organization
PRESBYTERIAN MANORS, INC.
Active
Other names
Manor of the Plains
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM M WARD JR. (PRESIDENT/CEO)
(316) 685-1100
Entity
Organization
Contact information
Practice address
200 CAMPUS DR, DODGE CITY, KS 67801-2760
(620) 225-1928
(620) 225-3982
Mailing address
PO BOX 20440, WICHITA, KS 67208-1440
(316) 685-1100
(316) 685-2900
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N/A
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100024040E
HCBS
KS
01
—
1001
BLUE CROSS
KS
05
—
100111810A
—
KS
01
—
17D0648398
CLIA
KS
Enumeration date
09/08/2006
Last updated
08/18/2008
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