NPIMap

Organization Active NPI

Developmental Services of Northwest Kansas, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Russell, KS
National Provider Identifier
1730156332
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
DEVELOPMENTAL SERVICES OF NORTHWEST KANSAS, INC.
Practice address
133 Eves Dr
Russell, KS 67665-2809
Phone
(785) 625-5678
Fax
(785) 625-8204
NPI assigned
Mar 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Gerard L. Michaud
Title
President
Phone
(785) 625-5678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

133 Eves Dr
Russell, KS 67665-2809

Mailing address

2703 Hall St
Suite 10
Hays, KS 67601-1964
Phone (785) 625-5678

National Provider Directory

National Provider Directory
Tax ID family
Developmental Services of Northwest Kansas Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

133 Eves Dr
Russell, KS 67665
Phone (785) 625-5678

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730156332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 HALL ST",
            "address_2": "SUITE 10",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011964",
            "telephone_number": "785-625-5678",
            "fax_number": "785-625-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 EVES DR",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652809",
            "telephone_number": "785-625-5678",
            "fax_number": "785-625-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL SERVICES OF NORTHWEST KANSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICHAUD",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-625-5678",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russell, 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.