PHILLIPS COUNTY RETIREMENT CORPORATION (NPI# 1477685162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477685162 |
| Entity Type | Organization |
| Organization Name | PHILLIPS COUNTY RETIREMENT CORPORATION |
| Other Organization Name | PHILLIPS COUNTY RETIREMENT CENTER |
| Practice Address |
1300 State Street Phillipsburg KS 67661 |
| Mailing Address |
1300 State Street P.o. Box 628 Phillipsburg KS 67661 |
| Practice Telephone | 7855432131 |
| Practice Fax Number | 7855435200 |
| Mailing Telephone | 7855432131 |
| Mailing Fax Number | 7855435200 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2012-06-26 |
| Authorized Official Name | MRS. KRISTI KUCK (ADMINISTRATOR) |
| Authorized Official Telephone | 7855432131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | N074003 | KS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 110111750A | 05 | |
| KS | STATE I.D. | N074003 | 01 |
| Other Name | Type Code |
|---|---|
| Phillips County Retirement Center | Doing Business As Name - Organization |
| Street Address |
1300 STATE STREET |
| City | PHILLIPSBURG |
| State | KS |
| Zip Code | 67661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008237 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Vogelweh 2043, Kaiserslautern, GERMANY 67661 | 2020-09-21 |
| 1932686524 | Sarah Elizabeth Trainor | Dental Hygienist | Pulaski Barracks Dental Clinic Bldg 2921, Kaiserslautern, FOREIGN PROVINCE 67661 | 2018-07-26 |
| 1992997282 | Jasmin De Guzman | Dentist | Washington Square, Kaiserslautern, RHEINLAND PFALZ 67661 | 2007-08-10 |
| 1558575803 | Sheila L Bills | Speech-Language Pathologist | 240 Fischer Dr., Phillipsburg, KS 67661 | 2007-05-09 |
| 1114082526 | Sandra Gay Loon | Social Worker | 783 7th Street, Phillipsburg, KS 67661 | 2006-12-26 |
| 1952408221 | Ronald J Juenemann | Optometrist | 655 5th Street, Phillipsburg, KS 67661 | 2006-09-20 |
| 1831192681 | Robyn R. Burwell | Nurse Practitioner | 1719 Highway 183, Phillipsburg, KS 67661 | 2005-05-24 |
| 1649482183 | Ronald J. Juenemann, O.d., P.a. | Optometrist | 655 5th Street, Phillipsburg, KS 67661 | 2007-05-04 |
| 1851514780 | Gidget Ann Mosiman | Counselor | 783 7th St, Phillipsburg, KS 67661 | 2007-04-10 |
| 1619010584 | Rex D Harman | Psychologist | 783 7th Street, High Plains Mhc, Phillipsburg, KS 67661 | 2007-02-14 |
| Find all providers in zip 67661 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568557445 | Great Plains of Phillips County, Inc. | Nursing Facility/Intermediate Care Facility | 1150 State Street, Phillipsburg, KS 67661-0607 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474901 | James I Chou Dds Pa | Nursing Facility/Intermediate Care Facility | 5216 Park St, Shawnee, KS 66216-1141 | 2020-07-10 |
| 1902348865 | Good Shepherd Villages, Inc | Nursing Facility/Intermediate Care Facility | 613 3rd St, Summerfield, KS 66541-8619 | 2016-11-09 |
| 1598215428 | Lucyanne Moraa Okwomi | Nursing Facility/Intermediate Care Facility | 6402 W 89th St, #4, Overland Park, KS 66212-6059 | 2016-10-04 |
| 1972976439 | Franklin Healthcare of Peabody, LLC | Nursing Facility/Intermediate Care Facility | 500 Peabody Ave, Peabody, KS 66866-1206 | 2015-11-05 |
| 1073932950 | Loving Care of Mcpherson | Nursing Facility/Intermediate Care Facility | 1411 Dover Rd, Mcpherson, KS 67460-1722 | 2014-04-08 |
| 1649608282 | Trudy Hansen | Nursing Facility/Intermediate Care Facility | 200 S 14th St, Parsons, KS 67357-4201 | 2013-10-16 |
| 1922446350 | Maize Ccrc, LLC | Nursing Facility/Intermediate Care Facility | 505 N Maize Rd, Wichita, KS 67212-4689 | 2013-06-07 |
| 1194006213 | Rehabcare | Nursing Facility/Intermediate Care Facility | 124 S Skyline Dr, Salina, KS 67401-1627 | 2011-09-01 |
| 1285929489 | Brenda Jo Zeller | Nursing Facility/Intermediate Care Facility | 22459 Greenwood Rd, Belvue, KS 66407-9406 | 2011-06-15 |
| 1669782231 | Gracious Senior Living, LLC | Nursing Facility/Intermediate Care Facility | 551 S. Holland, Wichita, KS 67209 | 2010-10-18 |
| Find all providers with the same taxonomy | ||||
| City | PHILLIPSBURG |
| Zip Code | 67661 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.