ST JOSEPH MEMORIAL HOSPITAL INC
Custodial Care Facility
Larned, Kansas
Provider NPI: 1821135815
Organization Information:Organization Name: ST JOSEPH MEMORIAL HOSPITAL INC
Practice Location:
923 CARROLL AVE LARNED, KS 67550 US
Tel: 620-285-3161 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:
923 CARROLL AVE LARNED, KS 67550 US
Tel: 620-285-3161 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
100112110B | KS | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin