Provider Demographics
NPI:1831641372
Name:OCCK, INC.
Entity Type:Organization
Organization Name:OCCK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FUNDING COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WALTER
Authorized Official - Suffix:
Authorized Official - Credentials:BSBA
Authorized Official - Phone:785-827-9383
Mailing Address - Street 1:1710 W SCHILLING RD
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-8131
Mailing Address - Country:US
Mailing Address - Phone:785-827-9383
Mailing Address - Fax:785-823-2015
Practice Address - Street 1:1710 W SCHILLING RD
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-8131
Practice Address - Country:US
Practice Address - Phone:785-827-9383
Practice Address - Fax:785-823-2015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMSW10117251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health