Provider Demographics
NPI:1942390042
Name:HARVEST OF HOPE FAMILY SERVICES
Entity Type:Organization
Organization Name:HARVEST OF HOPE FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:STEGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:620-792-5227
Mailing Address - Street 1:RR 1 BOX 118A
Mailing Address - Street 2:
Mailing Address - City:BISON
Mailing Address - State:KS
Mailing Address - Zip Code:67520-9740
Mailing Address - Country:US
Mailing Address - Phone:785-356-2030
Mailing Address - Fax:785-356-2530
Practice Address - Street 1:3111 10TH ST
Practice Address - Street 2:SUITE 105
Practice Address - City:GREAT BEND
Practice Address - State:KS
Practice Address - Zip Code:67530-4271
Practice Address - Country:US
Practice Address - Phone:620-792-5227
Practice Address - Fax:620-793-5666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS=========OtherSTATE OF KANSAS