State of Kansas

NPI #1396748265 in Osawatomie, Kansas

Provider Information

NPI Number
1396748265
Entity Type
Organization
Organization Name
State of Kansas
Primary Specialty
Psychiatric Hospital
Enumeration Date
May 24, 2005
Last Updated
Aug 22, 2013

Practice Location

Address
500 STATE HOSPITAL DRIVE
State
Kansas
ZIP Code
66064-1813
Phone
(913) 755-7000

Authorized Official

Name
MR. JERRY REA
Title
SUPERINTENDENT
Phone
(913) 755-7073

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital

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