Provider Demographics
NPI:1760290316
Name:AMERICAID HEALTH
Entity type:Organization
Organization Name:AMERICAID HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MADL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-907-8990
Mailing Address - Street 1:17736 EBY
Mailing Address - Street 2:
Mailing Address - City:BUCYRUS
Mailing Address - State:KS
Mailing Address - Zip Code:66013-4532
Mailing Address - Country:US
Mailing Address - Phone:913-907-8990
Mailing Address - Fax:
Practice Address - Street 1:17736 EBY
Practice Address - Street 2:
Practice Address - City:BUCYRUS
Practice Address - State:KS
Practice Address - Zip Code:66013-4532
Practice Address - Country:US
Practice Address - Phone:913-907-8990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health