Deseret Nursing and Rehabilitation at Yates Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N104001 Issued in KS

Legal business name

DESERET NURSING AND REHABILITATION AT YATES CENTER, INC

Practice address

801 S Fry St
Yates Center, KS 66783-1640

Phone

(620) 625-2111

Fax

(620) 625-3630

NPI assigned

Jun 28, 2005

Last updated

Aug 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon Robertson

Title

Owner

Phone

(801) 296-5105

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1851398440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S FRY ST",
            "city": "YATES CENTER",
            "state": "KS",
            "postal_code": "667831640",
            "telephone_number": "620-625-2111",
            "fax_number": "620-625-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S FRY ST",
            "city": "YATES CENTER",
            "state": "KS",
            "postal_code": "667831640",
            "telephone_number": "620-625-2111",
            "fax_number": "620-625-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERET NURSING AND REHABILITATION AT YATES CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-296-5105"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N104001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1042033401",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Marie Clark, MD
• Coffey County Hospital (Yates Center Medical Center)
• Coffey County Medical Center (Yates Center Medical Center)
• Randee Nicole Corns
• County of Woodson (Woodson County Ambulance Service)
• Steven D Epler, D.D.S.
• Grene Vision Group LLC
• Sarah E Hodges, LSCSW
• Janet Susan Leis, OTR/L
• Courtney Heather McClendon, APRN

• Skilled Nursing Facility in Yates Center, KS
• Providers in Yates Center, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.