COUNTY OF GRANT; NPI #1669441523

Contact Information

COUNTY OF GRANT

320 E OKLAHOMA AVE
ULYSSES, KS 67880-0514

Phone: 620-356-3400
Fax: 620-356-4512
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for COUNTY OF GRANT

NPI # 1669441523

LBN Legal business name COUNTY OF GRANT

Authorized official JERRY DECKERT - (GRANT CO EMS DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/14/2006

Last updated 02/01/2012 - About 14 years ago

Identifiers

KS	License #	680
KS	Medicaid	100092030A
	Other	590496169	RAILROAD MEDICARE
	Other	1521952	UNITED MINE WORKERS
KS	Other	112013	BCBS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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