Provider Demographics
NPI:1669527842
Name:NORTHWEST KANSAS AAA
Entity type:Organization
Organization Name:NORTHWEST KANSAS AAA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-628-8204
Mailing Address - Street 1:510 W 29TH ST STE B
Mailing Address - Street 2:P O BOX 610
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-1728
Mailing Address - Country:US
Mailing Address - Phone:785-628-8204
Mailing Address - Fax:785-628-6096
Practice Address - Street 1:510 W 29TH ST STE B
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-1728
Practice Address - Country:US
Practice Address - Phone:785-628-8204
Practice Address - Fax:785-628-6096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management