NPIMap

Organization Active NPI

Presbyterian Manors, Inc.

Doing business as Fort Scott Presbyterian Village

  • Assisted Living Facility
  • Fort Scott, KS
National Provider Identifier
1851402275
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
N/A Issued in KS
Legal business name
PRESBYTERIAN MANORS, INC.
Doing business as
Fort Scott Presbyterian Village
Practice address
2401 Horton St
Fort Scott, KS 66701-3178
Phone
(620) 223-5550
Fax
(620) 223-7800
NPI assigned
Aug 31, 2006
Last updated
Feb 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Mr. William M Ward Jr.
Title
President/Ceo
Phone
(316) 685-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X N/A KS Primary

Addresses

Primary practice location

2401 Horton St
Fort Scott, KS 66701-3178

Mailing address

PO Box 20440
Wichita, KS 67208-1440
Phone (316) 685-1100

Other names 1

  • Fort Scott Presbyterian Village Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0906649Fort Scott Presbyterian Village2401 South Horton Street, Fort Scott, KS 66701Certificate of waiverOct 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Presbyterian Manor15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1851402275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20440",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081440",
            "telephone_number": "316-685-1100",
            "fax_number": "316-685-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 HORTON ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667013178",
            "telephone_number": "620-223-5550",
            "fax_number": "620-223-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN MANORS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "316-685-1100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Scott Presbyterian Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Scott, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.