DCCCA, INC (NPI# 1609994359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609994359 |
| Entity Type | Organization |
| Organization Name | DCCCA, INC |
| Other Organization Name | WOMEN'S RECOVERY CENTER OF WESTERN KS |
| Practice Address |
1410 N Vine St Hoisington KS 67544-1557 |
| Mailing Address |
3312 Clinton Pkwy Lawrence KS 66047-3624 |
| Practice Telephone | 6206537385 |
| Practice Fax Number | 6206534011 |
| Mailing Telephone | 7858414138 |
| Mailing Fax Number | 7858415777 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-05-29 |
| Authorized Official Name | KERYE J JACKSON (CFO) |
| Authorized Official Telephone | 7858414138 |
| Authorized Official Credential | CPA, CMA |
| Is Organization Subpart | Y |
| Parent Organization Name | DCCCA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 350 | KS | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS BLUE SHIELD | 956 | 01 |
| KS | 100106740H | 05 |
| Other Name | Type Code |
|---|---|
| Women's Recovery Center of Western KS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558632299 | Dccca, Inc | Case Management | 3517 Lake Rd, Ponca City, OK 74604-5168 | 2012-01-25 |
| 1417280611 | Dccca, Inc | Case Management | 700 N Market St, Wichita, KS 67214-3518 | 2009-09-08 |
| 1336329911 | Dccca, Inc | Clinic/Center | 2110 Kansas Ave, Great Bend, KS 67530-2516 | 2007-11-12 |
| 1932228533 | Dccca, Inc | Clinic/Center | 1319 W May St, Suite 1319b, Wichita, KS 67213-3505 | 2007-03-28 |
| 1356469209 | Dccca, Inc | Substance Abuse Rehabilitation Facility | 3015 W 31st St, Lawrence, KS 66047-3042 | 2007-03-27 |
| 1215055090 | Dccca, Inc | Clinic/Center | 501 W Central St, Columbus, KS 66725-9211 | 2007-03-27 |
| 1932227683 | Dccca, Inc | Substance Abuse Rehabilitation Facility | 2930 Sw Wanamaker Dr, Topeka, KS 66614-4116 | 2007-03-27 |
| 1477646073 | Dccca, Inc | Case Management | 501 S. Ninnescah, Pratt, KS 67124-2838 | 2006-10-02 |
| 1861793556 | Dccca, Inc | Case Management | 1102 S Rouse St, Pittsburg, KS 66762-6048 | 2010-11-11 |
| 1053551663 | Dccca, Inc | Case Management | 121 College St, Winfield, KS 67156-2442 | 2009-02-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DCCCA, INC. | 3312 Clinton Pkwy, Lawrence, KS 66047-3624 |
| Colorado Business Entities | DCCCA, INC. | 3312 Clinton Pkwy, Lawrence, KS 66047 |
| Oklahoma Business Registrations | DCCCA, INC. | 3312 Clinton Parkway, Lawrence, KS 66047 |
| Street Address |
1410 N VINE ST |
| City | HOISINGTON |
| State | KS |
| Zip Code | 67544-1557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063507952 | Blake E. Herres IIi | Dentist | 568 W. 7th, Hoisington, KS 67544 | 2006-10-04 |
| 1962593087 | Harold Keith Ritter | Dentist | 165 West Seventh, Hoisington, KS 67544 | 2006-09-27 |
| 1316047715 | Debra Brockel | Physician Assistant | 252 W 9th Streeet, Hoisington, KS 67544 | 2006-09-25 |
| 1164494381 | Robert Michael Sheppard | Nurse Anesthetist, Certified Registered | 250 West 9th, Hoisington, KS 67544 | 2006-02-02 |
| 1598736464 | R M Sheppard Inc | Nurse Anesthetist, Certified Registered | 250 W 9th, Hoisington, KS 67544 | 2006-01-30 |
| 1932328705 | City of Hoisington Ambulance Service | Ambulance | 202 East Broadway, Hoisington, KS 67544-0418 | 2007-04-24 |
| 1184690554 | Cheyenne Drug Inc | Pharmacy | 110 N Main, Hoisington, KS 67544-0446 | 2006-02-27 |
| 1225120249 | Jewel Healthcare, LLC | Skilled Nursing Facility | 272 W Cheyenne St, Hoisington, KS 67544-1576 | 2006-09-28 |
| 1619185345 | Jewell Health Care, LLC | Skilled Nursing Facility | 272 W Cheyenne St, Hoisington, KS 67544-1576 | 2007-05-18 |
| 1114964111 | The Clara Barton Hospital Association, Inc. Hoisington Kansas | General Acute Care Hospital | 250 W 9th St, Hoisington, KS 67544-1706 | 2006-05-31 |
| Find all providers in zip 67544 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891319034 | Gold Bridge Treatment Center LLC | Substance Abuse Rehabilitation Facility | 105 E Amity St, Louisburg, KS 66053-4076 | 2020-06-03 |
| 1578075925 | Tomorrowslight Recovery Inc | Substance Abuse Rehabilitation Facility | 571 S Holland St, Wichita, KS 67209-2007 | 2017-10-25 |
| 1598275505 | Kisa Life Recovery, LLC | Substance Abuse Rehabilitation Facility | 865 State Highway 99, Sedan, KS 67361-8501 | 2017-10-04 |
| 1801218276 | Serenity Counseling and Wellness Center | Substance Abuse Rehabilitation Facility | 7933 State Ave Ste 203, Kansas City, KS 66112-2468 | 2014-01-20 |
| 1740538982 | Frontline Intervention Solution Today-organization LLC Limited Liabili | Substance Abuse Rehabilitation Facility | 3211 N 38th St, Kansas City, KS 66104-3726 | 2012-08-20 |
| 1942561576 | Preferred Family Healthcare, Inc. | Substance Abuse Rehabilitation Facility | 2720 E 12th Ave, Winfield, KS 67156-4114 | 2012-05-30 |
| 1265684591 | Alcala Counseling Services, LLC | Substance Abuse Rehabilitation Facility | 1243 Sw Topeka Blvd Ste B, Topeka, KS 66612-1907 | 2008-10-17 |
| 1306000724 | Cornerstone Therapy | Substance Abuse Rehabilitation Facility | 122 N Douglas Ave, Ellsworth, KS 67439-3214 | 2008-07-15 |
| 1598961419 | Syracusechemicaladdictiontreatment of Ks | Substance Abuse Rehabilitation Facility | 505 N Johnson, Syracuse, KS 67878-1008 | 2007-06-26 |
| 1164642591 | Simple Choice | Substance Abuse Rehabilitation Facility | 209 West Ave S, Lyons, KS 67554-2711 | 2007-04-26 |
| Find all providers with the same taxonomy | ||||
| City | HOISINGTON |
| Zip Code | 67544 |
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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.