Provider Demographics
NPI:1790879534
Name:NEW FREEDOM INC
Entity Type:Organization
Organization Name:NEW FREEDOM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DENIS
Authorized Official - Middle Name:W
Authorized Official - Last Name:VINYARD
Authorized Official - Suffix:
Authorized Official - Credentials:BS MDIV CADC1
Authorized Official - Phone:913-367-0411
Mailing Address - Street 1:PO BOX 18
Mailing Address - Street 2:1600 SKYWAY
Mailing Address - City:ATCHISON
Mailing Address - State:KS
Mailing Address - Zip Code:66002
Mailing Address - Country:US
Mailing Address - Phone:913-367-0411
Mailing Address - Fax:913-367-1517
Practice Address - Street 1:1600 SKYWAY
Practice Address - Street 2:
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002
Practice Address - Country:US
Practice Address - Phone:913-367-0411
Practice Address - Fax:913-367-1517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS185261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
10001620400OtherCOMMUNITY HEALTH PLAN
314150OtherHMS VALUE OPTIONS
314150OtherHMS VALUE OPTIONS