Provider Demographics
NPI:1972331072
Name:OCCK, INC.
Entity type:Organization
Organization Name:OCCK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/VP
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-827-9383
Mailing Address - Street 1:PO BOX 1160
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67402-1160
Mailing Address - Country:US
Mailing Address - Phone:785-827-9383
Mailing Address - Fax:
Practice Address - Street 1:1502 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:CONCORDIA
Practice Address - State:KS
Practice Address - Zip Code:66901-4830
Practice Address - Country:US
Practice Address - Phone:785-243-1977
Practice Address - Fax:785-243-4524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100409200FMedicaid