NPIMap

Organization Active NPI

Tri-Valley Developmental Services, Inc.

  • Case Management Agency
  • Chanute, KS
National Provider Identifier
1295880540
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
TRI-VALLEY DEVELOPMENTAL SERVICES, INC.
Practice address
3740 S Santa Fe Ave
Chanute, KS 66720-3247
Phone
(620) 431-7401
Fax
(620) 431-1409
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bill Fiscus
Title
Administrative Director
Phone
(620) 431-7401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3740 S Santa Fe Ave
Chanute, KS 66720-3247

Mailing address

3740 S Santa Fe Ave
P.O. Box 518
Chanute, KS 66720-3247
Phone (620) 431-7401

National Provider Directory

National Provider Directory
Tax ID family
Tri-Valley Developmental Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3740 S Santa Fe Ave
Chanute, KS 66720
Phone (620) 431-7401

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295880540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 S SANTA FE AVE",
            "address_2": "P.O. BOX 518",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667203247",
            "telephone_number": "620-431-7401",
            "fax_number": "620-431-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 S SANTA FE AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667203247",
            "telephone_number": "620-431-7401",
            "fax_number": "620-431-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-VALLEY DEVELOPMENTAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISCUS",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "620-431-7401"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanute, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.