Provider Demographics
NPI:1639249659
Name:PAYNE & ASSOCIATES, INC
Entity Type:Organization
Organization Name:PAYNE & ASSOCIATES, INC
Other - Org Name:FOCUS HEALTHCARE SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TABATHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:816-628-5303
Mailing Address - Street 1:950 W STATE ROUTE 92
Mailing Address - Street 2:STE. 204
Mailing Address - City:KEARNEY
Mailing Address - State:MO
Mailing Address - Zip Code:64060-8872
Mailing Address - Country:US
Mailing Address - Phone:816-628-5303
Mailing Address - Fax:816-903-5355
Practice Address - Street 1:950 W STATE ROUTE 92
Practice Address - Street 2:STE. 204
Practice Address - City:KEARNEY
Practice Address - State:MO
Practice Address - Zip Code:64060-8872
Practice Address - Country:US
Practice Address - Phone:816-628-5303
Practice Address - Fax:816-903-5355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO266073204Medicaid
MO07558Medicaid
MO946073202Medicaid
MO286073200Medicaid