Judge James V Riddel Boys Ranch in Goddard - Psychiatric Residential Treatment Facility
Judge James V Riddel Boys Ranch - NPI 1639225667
Judge James V Riddel Boys Ranch is a Psychiatric Residential Treatment Facility in Goddard, Kansas. Judge James V Riddel Boys Ranch practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Judge James V Riddel Boys Ranch is 1639225667. The last update date is 2020-08-22.
Judge James V Riddel Boys Ranch's current location address is 25331 W 39th St S, Goddard, Kansas. You can contact this provider via phone number 3166601600 and fax number 3167942061. The mailing address for Judge James V Riddel Boys Ranch is 25331 W 39th St S, Goddard, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Judge James V Riddel Boys Ranch |
|---|---|
| Address | 25331 W 39th St S, Goddard, Kansas |
| Phone Number | 3166601600 |
| Fax Number | 3167942061 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Masterson Mark |
| Telephone Number | 3166609750 |
NPI Number Detail
| NPI Number | 1639225667 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 25331 W 39th St S |
|---|---|
| City | Goddard |
| State | Kansas (KS) |
| Post Code | 670529244 |
| Phone Number | 3166601600 |
| Fax Number | 3167942061 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
| Licence No | 0003181-001 |
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Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Judge James V Riddel Boys Ranch by the Centers for Medicare & Medicaid Services?
The Judge James V Riddel Boys Ranch has been issued the NPI (National Provider Identifier) 1639225667 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Judge James V Riddel Boys Ranch's facilities are geographically located?
The facilities of Judge James V Riddel Boys Ranch are physically situated at the following location: 25331 W 39Th St S, Goddard, KS, 670529244.
What is the Judge James V Riddel Boys Ranch's specialty and taxonomy code?
The Judge James V Riddel Boys Ranch's specialty is Psychiatric Residential Treatment Facility, and the corresponding taxonomy code is 323P00000X.
On what date did the Judge James V Riddel Boys Ranch receive the assignment of its 1639225667 from the Centers for Medicare & Medicaid Services?
The Judge James V Riddel Boys Ranch was issued its 1639225667 by the Centers for Medicare & Medicaid Services on 2007-01-25.
As of what date were the Judge James V Riddel Boys Ranch's details last updated?
The information pertaining to the Judge James V Riddel Boys Ranch, including its address, specialty, and other details, was most recently updated on 2020-08-22.