CITY OF STOCKTON (NPI# 1194836163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194836163 |
| Entity Type | Organization |
| Organization Name | CITY OF STOCKTON |
| Other Organization Name | SOLOMON VALLEY MANOR |
| Practice Address |
315 S Ash St Stockton KS 67669-2136 |
| Practice Telephone | 7854256754 |
| Practice Fax Number | 7854256755 |
| Mailing Telephone | 7854256754 |
| Mailing Fax Number | 7854256755 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-09-25 |
| Authorized Official Name | MR. KEITH SCHLAEGEL (CITY MANAGER) |
| Authorized Official Telephone | 7854256703 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | N082002 | KS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBSKS (DME) | 048199 | 01 |
| KS | BCBSKS (SNF) | 001654 | 01 |
| KS | 100110720A | 05 | |
| KS | MEDICAID NUMBER | 17E637 | 01 |
| Other Name | Type Code |
|---|---|
| Solomon Valley Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912444118 | City of Stockton | Ambulance | 109 Sw 9th St, Plainville, KS 67663-3501 | 2017-01-25 |
| 1982786356 | City of Stockton | Ambulance | 115 S Walnut St, Stockton, KS 67669-1985 | 2006-10-19 |
| Street Address |
315 S ASH ST |
| City | STOCKTON |
| State | KS |
| Zip Code | 67669-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023326113 | Stephanie Layne Pfortmiller | Physical Therapy Assistant | 315 S Ash St, Stockton, KS 67669-2136 | 2010-09-22 |
| 1851598460 | Lindsey Maree Dreiling | Physical Therapist | 315 S Ash St, Stockton, KS 67669-2136 | 2007-06-27 |
| 1508075227 | Theresa Lynne Niblock | Speech-Language Pathologist | 315 S Ash St, Stockton, KS 67669-2136 | 2007-05-21 |
| 1215156682 | Leslie Nicole Olmstead | Occupational Therapist | 315 S Ash St, Stockton, KS 67669-2136 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013993021 | Morris Clayton Talbert | Dentist | 624 S 1st, Stockton, KS 67669 | 2005-12-21 |
| 1134542533 | Loral Lee Portenier | Counselor | 620 N Cedar St, Stockton, KS 67669-1326 | 2014-01-22 |
| 1720089774 | Northwest Kansas Physical Therapy, LLC | Physical Therapist | 421 Main St, Stockton, KS 67669-1929 | 2005-08-02 |
| 1588997126 | Usd # 271 | Local Education Agency (LEA) | 421 Main St, Stockton, KS 67669-1929 | 2009-09-15 |
| 1255333241 | County of Rooks | Home Health | 426 Main St, Stockton, KS 67669-1930 | 2005-08-10 |
| 1699143339 | Lori Eichman | Registered Nurse | 426 Main St, Stockton, KS 67669-1930 | 2015-09-11 |
| 1689007114 | Lorraine Baughman | Registered Nurse | 426 Main St, Stockton, KS 67669-1930 | 2013-08-20 |
| 1790830396 | Pamela R. Wilson | Pharmacy Technician | 402 Main St, Stockton, KS 67669-1930 | 2007-01-24 |
| 1508922162 | Rodney Kent Hahn | Pharmacist | 402 Main St, Stockton, KS 67669-1930 | 2006-12-28 |
| 1609971670 | Stockton Pharmacy, Inc. | Pharmacy | 402 Main St, Stockton, KS 67669-1930 | 2006-09-14 |
| Find all providers in zip 67669 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205224334 | Angel's Home Icf, Inc. | Nursing Facility/Intermediate Care Facility | 10712 Waterbury Dr, Stockton, CA 95209-4212 | 2014-12-23 |
| 1730596214 | Solidum Care Home Icf/dd-n #3 | Nursing Facility/Intermediate Care Facility | 8712 Ensenada Dr, Stockton, CA 95210-1213 | 2014-07-17 |
| 1992057244 | Solidum Care Home Icfdd-n#2 | Nursing Facility/Intermediate Care Facility | 9559 Colington Pl, Stockton, CA 95209-5013 | 2012-10-11 |
| 1750687687 | Dhk Manor, Inc | Nursing Facility/Intermediate Care Facility | 4513 Augustus Ct, Stockton, CA 95207-6632 | 2011-02-10 |
| 1285821272 | Solidum Care Homes | Nursing Facility/Intermediate Care Facility | 3522 Otto Dr, Stockton, CA 95209-5138 | 2007-10-03 |
| 1659596856 | Casa Del Rios | Nursing Facility/Intermediate Care Facility | 5541 Solari Ranch Rd, Stockton, CA 95215-9318 | 2007-04-15 |
| 1417009507 | Shirley's Care Home | Nursing Facility/Intermediate Care Facility | 9565 Colington Pl, Stockton, CA 95209-5013 | 2007-01-17 |
| 1700935509 | Duke Facilities, Inc. | Nursing Facility/Intermediate Care Facility | 2661 Otto Dr, Stockton, CA 95209-1111 | 2007-01-09 |
| 1124442520 | Solidum Care Home Icf Ddn2 | Nursing Facility/Intermediate Care Facility | 9559 Colington Pl, Stockton, CA 95209-5013 | 2014-02-06 |
| 1053563536 | Shirley's Icf Dd N No 5 | Nursing Facility/Intermediate Care Facility | 9565 Colington Pl, Stockton, CA 95209-5013 | 2008-10-16 |
| Find all providers in STOCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.