Kings Camp Inc
Kings Camp Inc is a health care provider in Goddard, KS. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 24401 W Macarthur Rd, Goddard, KS 67052-8713, US |
|Practice Location Phone||316-794-2913|
|Practice Location Fax||316-794-2773|
|Legal Business Name||KINGS CAMP INC|
|Enumeration Date ? ||Jun 11, 2005|
|Last Update Date ? ||Jul 9, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Kings Camp Inc
|Specialty||Provider Type||Specialization||License||License State|
|Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities||Residential Treatment Facilities|| ||251B00000X||Kansas|
|Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities||Residential Treatment Facilities|| ||2084P0800X||Kansas|
Legacy Provider IDs of Kings Camp Inc
|Provider Id||Issuer State||Issuer Type||Issuer|
|103575||Kansas||Other||BLUE CROSS & BLUE SHIELD|
Authorized Official of Kings Camp Inc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Kings Camp Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mrs. Dorothy May Paasch|
|Authorized Official Title/Position||OFFICE MANAGER|
|Authorized Official Phone Number||316-794-2913|