MEDICARE: CITY OF HALSTEAD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215033113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF HALSTEAD

Provider Business Mailing Address
First Line	:	303 MAIN ST
Second Line	:
City	:	HALSTEAD
State	:	KS
Zip	:	67056-0312
Country	:	US
Telephone Number	:	316-835-2605
Fax Number	:	316-835-2377

Provider Business Practice Location Address
First Line	:	303 MAIN ST
Second Line	:
City	:	HALSTEAD
State	:	KS
Zip	:	67056-0312
Country	:	US
Telephone Number	:	316-835-2605
Fax Number	:	316-835-2377

Authorized Official
Title or Position	:	CITY ADMINISTRATOR CITY OF HALSTEAD
Name	:	MR. J R HATFIELD
Credential	:
Telephone Number	:	316-835-3381

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	08/22/2020

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Directions to “CITY OF HALSTEAD ” Practice Location

Language	Start Address	Practice Location

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