Provider Demographics
NPI:1740444876
Name:ALAN L BETTS LLC
Entity type:Organization
Organization Name:ALAN L BETTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:BETTS
Authorized Official - Suffix:
Authorized Official - Credentials:LLC
Authorized Official - Phone:785-625-8844
Mailing Address - Street 1:1204 ANTONINO RD
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-9694
Mailing Address - Country:US
Mailing Address - Phone:785-625-8844
Mailing Address - Fax:
Practice Address - Street 1:1204 ANTONINO RD
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-9694
Practice Address - Country:US
Practice Address - Phone:785-625-8844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS18271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100354620AMedicaid
KS100354620AMedicaid