Provider Demographics
NPI:1164443230
Name:EASTERN KANSAS HEALTH CARE SYSTEM
Entity Type:Organization
Organization Name:EASTERN KANSAS HEALTH CARE SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RECREATION/HORTICULTURE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:GEORGIA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:ABBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:HTR
Authorized Official - Phone:785-350-3111
Mailing Address - Street 1:5824 SW 24TH TER
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-1834
Mailing Address - Country:US
Mailing Address - Phone:785-273-2318
Mailing Address - Fax:
Practice Address - Street 1:5824 SW 24TH TER
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-1834
Practice Address - Country:US
Practice Address - Phone:785-273-2318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation TherapistGroup - Single Specialty