VIA CHRISTI VILLAGE PITTSBURG INC
Assisted Living Facility
Pittsburg, Kansas
Provider NPI: 1285637884
Organization Information:Organization Name: VIA CHRISTI VILLAGE PITTSBURG INC
Practice Location:
1502 E CENTENNIAL DR PITTSBURG, KS 66762 US
Tel: 620-235-0020 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1502 E CENTENNIAL DR PITTSBURG, KS 66762 US
Tel: 620-235-0020 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | KS | N019013 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | KS | N019013 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
HCBS | 100455940B | KS | 01 |
100455940A | KS | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin