City on a Hill Inc
Organization Active NPI Substance Abuse Rehabilitation Facility · Liberal, KS
NPI 1962659326 · NPPES record last updated Sep 29, 2023
Key facts
- NPI
- 1962659326
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- 693 (KS)
- Legal business name
- CITY ON A HILL INC
- Practice address
- 529 N New York Ave
Liberal, KS 67901-3412 - Phone
- (620) 276-0840
- Fax
- (620) 276-1882
- NPI assigned
- Aug 27, 2008
- Organization subpart
- No
Authorized official
- Name
- Miranda L Unruh
- Title
- Executive Director
- Phone
- (620) 276-0840
National Provider Directory
Locations
529 N New York Ave
Liberal, KS 67901
Phone (620) 276-0840
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 693 | KS | Yes |
Addresses
Primary practice location
529 N New York Ave
Liberal, KS 67901-3412
Mailing address
PO Box 1073
Garden City, KS 67846-1078
Phone (620) 276-0840
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UNKNOWN | Medicaid | KS |
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All providers in Liberal, KS · Substance Abuse Rehabilitation Facility in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2023. 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.