Organization Active NPI

Deseret Nursing and Rehabilitation at McPherson

  • Skilled Nursing Facility
  • McPherson, KS
National Provider Identifier
1992702559
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N-059-004 Issued in KS
Legal business name
DESERET NURSING AND REHABILITATION AT MCPHERSON
Practice address
1601 N Main St
McPherson, KS 67460-1601
Phone
(620) 241-5360
Fax
(620) 241-5364
NPI assigned
Jun 28, 2005
Last updated
Aug 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N-059-004 KS Primary

Addresses

Primary practice location

1601 N Main St
McPherson, KS 67460-1601

Mailing address

1601 N Main St
McPherson, KS 67460-1601
Phone (620) 241-5360

Other identifiers 1

IdentifierTypeStateIssuer
1042085401MedicaidKS

National Provider Directory

National Provider Directory

NPI Registry JSON

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": "1992702559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N MAIN ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674601601",
            "telephone_number": "620-241-5360",
            "fax_number": "620-241-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N MAIN ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674601601",
            "telephone_number": "620-241-5360",
            "fax_number": "620-241-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERET NURSING AND REHABILITATION AT MCPHERSON",
        "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": "N-059-004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1042085401",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McPherson, KS

Sources for this page

  • 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.