NPI 1558495325

Center for Independent Living Southwest Kansas

Organisation Preferred Provider Organization Garden City, KS

Practice location

Address: 1802 E Spruce St, Garden City, KS 67846-6337
Phone: (620) 276-1900
Fax: (620) 271-0200
Mailing address: 1802 E Spruce St PO Box 2090, Garden City, KS 67846-6337

Authorised official

Name: Troy Alan Horton
Title: Executive Director
Phone: (620) 276-1900

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1558495325
Entity type: Organization
NPI issued: 15 Mar 2007
Record last updated: 30 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.