Organization
STATE OF KANSAS
Active
Organization
STATE OF KANSAS
Active
Other names
Osawatomie State Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY REA (SUPERINTENDENT)
(913) 755-7073
Entity
Organization
Contact information
Practice address
500 STATE HOSPITAL DRIVE, OSAWATOMIE, KS 66064-1813
(913) 755-7000
(913) 755-7127
Mailing address
500 STATE HOSPITAL DRIVE, OSAWATOMIE, KS 66064-1813
(913) 755-7000
(913) 755-7127
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
M061101
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101120B
—
KS
Enumeration date
05/24/2005
Last updated
08/22/2013
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