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  • 171600
CCN: 171600 NPI: 1467877571 Organization

PROVIDENCE HOME HEALTH & HOSPICE LLC

9415 E HARRY ST STE 703
WICHITA, KS 67207

Contact Information

  • Phone 3165585956
  • Fax 3165585948
  • Enumeration Date 2014-02-26
  • Last Updated 2023-01-24

Taxonomies

  • Code: 251G00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 6
cbsaActualGeographicLocation 48620
providerType 35
censusDivision 6
cbsaActualGeographicLocation 48620
providerType 35
censusDivision 6
cbsaActualGeographicLocation 48620
providerType 35
censusDivision 0
cbsaActualGeographicLocation 48620
providerType 35
censusDivision 0
cbsaActualGeographicLocation 48620
providerType 35
censusDivision 0
cbsaActualGeographicLocation 48620
providerType 35
censusDivision 0
cbsaActualGeographicLocation 48620
providerType 35
censusDivision 0
cbsaActualGeographicLocation 48620
providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 48620
providerType 35
specialPaymentIndicator
carrierCode 05202
localityCode 00
cbsaActualGeographicLocation 48620
providerType 35
specialPaymentIndicator
carrierCode 05202
localityCode 00

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