Organization
ALLEN COUNTY KANSAS HOSPITAL
Active
Parent organization
ALLEN COUNTY KANSAS
Other names
Allen County Regional Hospital Home Health
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
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000688
BLUE CROSS HOME HEALTH
—
05
—
100457200B
—
KS
Enumeration date
08/07/2006
Last updated
07/24/2014
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