Basic Information
| Provider Information | |||||||||
| NPI: | 1942390042 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HARVEST OF HOPE FAMILY SERVICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | RR 1 BOX 118A | ||||||||
| Address2: | |||||||||
| City: | BISON | ||||||||
| State: | KS | ||||||||
| PostalCode: | 675209740 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7853562030 | ||||||||
| FaxNumber: | 7853562530 | ||||||||
| Practice Location | |||||||||
| Address1: | 3111 10TH ST | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | GREAT BEND | ||||||||
| State: | KS | ||||||||
| PostalCode: | 675304271 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6207925227 | ||||||||
| FaxNumber: | 6207935666 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | STEGMAN | ||||||||
| AuthorizedOfficialFirstName: | GAYLE | ||||||||
| AuthorizedOfficialMiddleName: | ELAINE | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 6207925227 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LSCSW | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.