Provider Demographics
NPI:1326084120
Name:MID AMERICA HEALTH CENTERS INC
Entity Type:Organization
Organization Name:MID AMERICA HEALTH CENTERS INC
Other - Org Name:MID AMERICA HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-524-4428
Mailing Address - Street 1:922 N 5TH
Mailing Address - Street 2:PO BOX 466
Mailing Address - City:LINCOLN
Mailing Address - State:KS
Mailing Address - Zip Code:67455-0466
Mailing Address - Country:US
Mailing Address - Phone:785-524-4428
Mailing Address - Fax:785-524-3522
Practice Address - Street 1:922 N 5TH
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:KS
Practice Address - Zip Code:67455-0466
Practice Address - Country:US
Practice Address - Phone:785-524-4428
Practice Address - Fax:785-524-3522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN053001310400000X, 313M00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Not Answered314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1358OtherBCBS OF KANSAS SNF
KS1358OtherBCBS OF KANSAS SNF