THI OF KANSAS AT WICHITA SPECIALTY, LLC
Long Term Care Hospital
Wichita, Kansas
Provider NPI: 1245278605
Organization Information:Organization Name: THI OF KANSAS AT WICHITA SPECIALTY, LLC
Practice Location:
8080 E PAWNEE ST WICHITA, KS 67207 US
Tel: 316-682-0004 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:
8080 E PAWNEE ST WICHITA, KS 67207 US
Tel: 316-682-0004 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 282E00000X | Hospitals Long Term Care Hospital | KS | H087007 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
200539570A | KS | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin