Provider Demographics
NPI:1396035499
Name:CASE MANAGEMENT OF KANSAS
Entity Type:Organization
Organization Name:CASE MANAGEMENT OF KANSAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:GINNY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BRANDENBURGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-640-7912
Mailing Address - Street 1:PO BOX 234
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-0234
Mailing Address - Country:US
Mailing Address - Phone:620-640-7912
Mailing Address - Fax:
Practice Address - Street 1:4170 E HWY 50
Practice Address - Street 2:313
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-9570
Practice Address - Country:US
Practice Address - Phone:620-640-7912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management