Provider Demographics
NPI:1306826144
Name:COMMONSPIRIT KANSAS, INC.
Entity type:Organization
Organization Name:COMMONSPIRIT KANSAS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE & CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAWNA
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-272-2222
Mailing Address - Street 1:401 E SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-5679
Mailing Address - Country:US
Mailing Address - Phone:620-272-2519
Mailing Address - Fax:620-272-2664
Practice Address - Street 1:602 N 6TH ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-5509
Practice Address - Country:US
Practice Address - Phone:620-272-2519
Practice Address - Fax:620-272-2664
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMONSPIRIT HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-18
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100030210BMedicaid
KS171530Medicare UPIN