1942390042 NPI number — HARVEST OF HOPE FAMILY SERVICES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942390042 NPI number — HARVEST OF HOPE FAMILY SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARVEST OF HOPE FAMILY SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942390042
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
RR 1 BOX 118A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BISON
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67520-9740
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-356-2030
Provider Business Mailing Address Fax Number:
785-356-2530

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3111 10TH ST
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
GREAT BEND
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67530-4271
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
620-792-5227
Provider Business Practice Location Address Fax Number:
620-793-5666
Provider Enumeration Date:
10/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
STEGMAN
Authorized Official First Name:
GAYLE
Authorized Official Middle Name:
ELAINE
Authorized Official Title or Position:
PRESIDENT DIRECTOR
Authorized Official Telephone Number:
620-792-5227

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com