Providence Professional Services, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PROVIDENCE PROFESSIONAL SERVICES, INC.

Practice address

302 Fleming St
Suite # 8
Garden City, KS 67846-5972

Phone

(620) 275-7100

Fax

(620) 275-7116

NPI assigned

Nov 12, 2009

Organization subpart

No

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

Authorized official

Name

Sandra S Fine

Title

President

Phone

(620) 275-7100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1801123781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 FLEMING ST",
            "address_2": "SUITE # 8",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465972",
            "telephone_number": "620-275-7100",
            "fax_number": "620-275-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 FLEMING ST",
            "address_2": "SUITE # 8",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465972",
            "telephone_number": "620-275-7100",
            "fax_number": "620-275-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE PROFESSIONAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-275-7100"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Garden City, KS
• Providers in Garden City, KS by specialty
• Case Management Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.