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FREEDOM GATES BOYS RANCH
NPI 1639807324
Clinic/Center - Adolescent and Children Mental Health in Hazelton, KS

Active since August 10, 2022
304 N CHURCH ST, HAZELTON, KS 67061(620) 239-4031(620) 239-4032 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Freedom Gates Boys Ranch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREEDOM GATES BOYS RANCH (NPI 1639807324) is a healthcare organization registered as an adolescent and children mental health in Hazelton, Kansas and active in the NPI registry since August 2022. The organization lists Mary Freitag, Chief Fiscal Officer, as its authorized official.

NPPES Registry Identity

NPI1639807324
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameFREEDOM GATES BOYS RANCH
Location Address304 N CHURCH STHazelton, KS 67061-9300
Mailing AddressPo Box 103Kiowa, KS 67070-0103 · (620) 239-4031 · Fax (620) 239-4032
Phone(620) 239-4031
Fax(620) 239-4032
Organization SubpartNo
Authorized OfficialMary FreitagChief Fiscal Officer · (620) 239-4031
Enumeration DateAugust 10, 2022
NPPES CertifiedAugust 10, 2022
✔ NPI 1639807324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
304 N CHURCH ST, Hazelton, KS 67061
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Other Identifiers 1

Medicaid1548479223OK

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICKIE FARRIS
Counselor (Mental Health)
304 N CHURCH ST
HAZELTON, KS 67061
Barber County (620) 239-4031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Freedom Gates Boys Ranch's NPI number?

The NPI number for Freedom Gates Boys Ranch is 1639807324. It was assigned to this organization in the NPPES registry on August 10, 2022.

Where is Freedom Gates Boys Ranch located?

Freedom Gates Boys Ranch is located at 304 N Church St, Hazelton, KS 67061. The listed phone number is (620) 239-4031.

What is Freedom Gates Boys Ranch's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Freedom Gates Boys Ranch was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.