Provider Demographics
NPI:1831197870
Name:ALLSTATE HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:ALLSTATE HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-275-9990
Mailing Address - Street 1:302 NORTH FLEMING ST
Mailing Address - Street 2:SUITE 8-D
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-6162
Mailing Address - Country:US
Mailing Address - Phone:620-275-9990
Mailing Address - Fax:620-275-9992
Practice Address - Street 1:302 FLEMING ST
Practice Address - Street 2:SUITE 8-D
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-6162
Practice Address - Country:US
Practice Address - Phone:620-275-9990
Practice Address - Fax:620-275-9992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4899150001Medicare NSC