Provider Demographics
NPI:1427130517
Name:SOUTHWEST KANSAS AREA AGENCY ON AGING
Entity type:Organization
Organization Name:SOUTHWEST KANSAS AREA AGENCY ON AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:GEIST
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:620-225-8230
Mailing Address - Street 1:PO BOX 1636
Mailing Address - Street 2:
Mailing Address - City:DODGE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67801-1636
Mailing Address - Country:US
Mailing Address - Phone:620-225-8230
Mailing Address - Fax:620-225-8239
Practice Address - Street 1:236 SAN JOSE
Practice Address - Street 2:
Practice Address - City:DODGE CITY
Practice Address - State:KS
Practice Address - Zip Code:67801-2732
Practice Address - Country:US
Practice Address - Phone:620-225-8230
Practice Address - Fax:620-225-8239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management