| Organization Name: | FLINT HILLS DIALYSIS OF JUNCTION CITY |
| NPI Number: | 1184008856 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IMAD BEDROS (ADMINISTRATOR) |
| Mailing Address: | 1110 Saint Marys Rd Ste 101 Junction City |
| State: | KS US |
| Postal Code: | 664414176 |
| Phone Number: | 7855659500 |
| Fax Number: | 7855659595 |
| NPI Enumeration Date: | 07/13/2015 |
| NPI Last Update Date: | 07/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |