Susie Rachelle Decker
Individual provider Active NPI Case Management Agency · Burlington, KS
NPI 1679696512 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679696512
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Agency 251B00000X
- Practice address
- 200 N 3Rd St
Burlington, KS 66839-1354 - Phone
- (620) 364-5622
- Fax
- (620) 364-2376
- NPI assigned
- Apr 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
200 N 3Rd St
Burlington, KS 66839-1354
Mailing address
PO Box 63
Burlington, KS 66839-0063
Phone (620) 364-5622
Other providers in Burlington, KS
- Coffey County Medical Center
- Coffey County Transportation
- County of Coffey
- Jennifer Crane
- Christine D Currier
- Sara Ditto
- Marie-Karl Valencia Dizon
- Timothy Jay Donahue
- DRS Price Young Odle & Horsch PA
- Mark W Farthing
All providers in Burlington, KS · Case Management Agency in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.