1407257520 NPI number — SEYMOUR HEALTH AND REHAB OPERATIONS LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407257520 NPI number — SEYMOUR HEALTH AND REHAB OPERATIONS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SEYMOUR HEALTH AND REHAB OPERATIONS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SEYMOUR HEALTH AND REHAB
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407257520
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/08/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3715 SW 29TH ST
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
TOPEKA
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66614-2107
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-272-1535
Provider Business Mailing Address Fax Number:
785-272-1480

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 E 4TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEYMOUR
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52590-1227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
641-898-2294
Provider Business Practice Location Address Fax Number:
641-898-2294
Provider Enumeration Date:
09/08/2014

Additional Information

Authorized Official

Authorized Official Last Name:
TRYON
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
D
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
785-272-1535

Provider Taxonomy Codes

  • Taxonomy code: 314000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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