Provider Demographics
NPI:1932194982
Name:RICE COUNTY HOSPITAL DISTRICT NO 2
Entity Type:Organization
Organization Name:RICE COUNTY HOSPITAL DISTRICT NO 2
Other - Org Name:SANDSTONE HEIGHTS NURSING HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:I
Authorized Official - Last Name:HALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:RN,LACHA
Authorized Official - Phone:620-897-6266
Mailing Address - Street 1:440 STATE ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE RIVER
Mailing Address - State:KS
Mailing Address - Zip Code:67457-0000
Mailing Address - Country:US
Mailing Address - Phone:620-897-6266
Mailing Address - Fax:620-897-6262
Practice Address - Street 1:440 STATE ST
Practice Address - Street 2:
Practice Address - City:LITTLE RIVER
Practice Address - State:KS
Practice Address - Zip Code:67457-9158
Practice Address - Country:US
Practice Address - Phone:620-897-6266
Practice Address - Fax:620-897-6262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-15
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN080002310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1042756601Medicaid