Provider Demographics
NPI:1821178930
Name:NEW BEGINNINGS OF MCPHERSON, INC.
Entity Type:Organization
Organization Name:NEW BEGINNINGS OF MCPHERSON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMBRE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:GOSSELIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-245-0146
Mailing Address - Street 1:111 E KANSAS AVE
Mailing Address - Street 2:
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-4851
Mailing Address - Country:US
Mailing Address - Phone:620-245-0146
Mailing Address - Fax:620-245-0994
Practice Address - Street 1:111 E KANSAS AVE
Practice Address - Street 2:
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-4851
Practice Address - Country:US
Practice Address - Phone:620-245-0146
Practice Address - Fax:620-245-0994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS225C00000X, 251B00000X, 3747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Multi-Specialty
Not Answered251B00000XAgenciesCase Management
Not Answered3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS20026840BMedicaid
KS20026840AMedicaid