Organization
SERC REHABILITATION PARTNERS LLC
Active
Other names
SERC - N Topeka
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY RUSSELL (REVENUE CYCLE MANAGER)
(423) 238-8923
Entity
Organization
Contact information
Practice address
3405 NW HUNTERS RIDGE TER, STE 300, TOPEKA, KS 66618-2509
(785) 246-2300
(785) 246-2301
Mailing address
17134 BEL RAY PL, BELTON, MO 64012-5331
(816) 554-9559
(816) 524-6115
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KA2868
GROUP MEDICARE PTAN
KS
Enumeration date
12/09/2013
Last updated
12/13/2013
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