Active NPI
Kings Camp Inc
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Goddard, KS
National Provider Identifier
1386611226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- 36366002
- Legal business name
- KINGS CAMP INC
- Practice address
- 24401 W Macarthur Rd
Goddard, KS 67052-8713 - Phone
- (316) 794-2913
- Fax
- (319) 794-2773
- NPI assigned
- Feb 28, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dorothy M Paasch
- Title
- Office Manager
- Phone
- (316) 794-2913
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 36366002 | KS | Primary |
Addresses
Primary practice location
24401 W Macarthur Rd
Goddard, KS 67052-8713
Mailing address
PO Box 215
Goddard, KS 67052-0215
Phone (316) 794-2913
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103575 | Other | KS | BLUE CROSS & BLUE SHIELD |
Other names 1
- Kings Achievement Center
National Provider Directory
National Provider Directory- Tax ID family
- Kings Achievement Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Goddard, KS
- NPI 1184628646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386611226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 215",
"city": "GODDARD",
"state": "KS",
"postal_code": "670520215",
"telephone_number": "316-794-2913",
"fax_number": "316-794-2773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24401 W MACARTHUR RD",
"city": "GODDARD",
"state": "KS",
"postal_code": "670528713",
"telephone_number": "316-794-2913",
"fax_number": "319-794-2773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGS CAMP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PAASCH",
"authorized_official_first_name": "DOROTHY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "316-794-2913",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "KS",
"license": "36366002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "103575",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kings Achievement Center",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Goddard, 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.