Organization Name: | SERC REHABILITATION PARTNERS LLC |
NPI Number: | 1114372398 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN JOHANNESON (VP REVENUE CYCLE OPERATIONS) |
Mailing Address: | 924 Locust Ste B Eudora |
State: | KS US |
Postal Code: | 660259528 |
Phone Number: | 7855423333 |
Fax Number: | 7855423330 |
NPI Enumeration Date: | 04/26/2016 |
NPI Last Update Date: | 04/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |