Provider Demographics
NPI:1144422197
Name:STATE OF KANSAS-ACCOUNTING SERVICES
Entity Type:Organization
Organization Name:STATE OF KANSAS-ACCOUNTING SERVICES
Other - Org Name:LARNED STATE HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:KINLEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:620-285-4360
Mailing Address - Street 1:1301 KS HIGHWAY 264
Mailing Address - Street 2:
Mailing Address - City:LARNED
Mailing Address - State:KS
Mailing Address - Zip Code:67550-5353
Mailing Address - Country:US
Mailing Address - Phone:620-285-2131
Mailing Address - Fax:
Practice Address - Street 1:1301 KS HIGHWAY 264
Practice Address - Street 2:
Practice Address - City:LARNED
Practice Address - State:KS
Practice Address - Zip Code:67550-5353
Practice Address - Country:US
Practice Address - Phone:620-285-2131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSM073001283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS111338OtherMEDICARE PART B
KS000600OtherBLUE CROSS
KS111338OtherBLUE SHIELD
KS000600OtherBLUE CROSS