Provider Demographics
NPI:1396884961
Name:KANSAS SOLDIERS HOME
Entity type:Organization
Organization Name:KANSAS SOLDIERS HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-227-2121
Mailing Address - Street 1:714 SHERIDAN ST UNIT 128
Mailing Address - Street 2:
Mailing Address - City:FORT DODGE
Mailing Address - State:KS
Mailing Address - Zip Code:67801-9068
Mailing Address - Country:US
Mailing Address - Phone:620-227-2121
Mailing Address - Fax:620-225-6331
Practice Address - Street 1:201 CUSTER
Practice Address - Street 2:
Practice Address - City:FORT DODGE
Practice Address - State:KS
Practice Address - Zip Code:67801
Practice Address - Country:US
Practice Address - Phone:620-227-2121
Practice Address - Fax:620-227-0107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN029008314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility