Provider Demographics
NPI:1881656221
Name:KANSAS CARE HEALTH SERVICES INC
Entity Type:Organization
Organization Name:KANSAS CARE HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:H
Authorized Official - Last Name:BLOMQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-825-1023
Mailing Address - Street 1:712 S OHIO ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-5200
Mailing Address - Country:US
Mailing Address - Phone:785-825-1023
Mailing Address - Fax:785-825-1049
Practice Address - Street 1:712 S OHIO ST
Practice Address - Street 2:SUITE B
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-5200
Practice Address - Country:US
Practice Address - Phone:785-825-1023
Practice Address - Fax:785-825-1049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA085008251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health