MEDICARE: SMITH COUNTY COURTHOUSE

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	3416L0300X	Land 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	:	1225258460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMITH COUNTY COURTHOUSE

Provider Business Mailing Address
First Line	:	914 E HIGHWAY 36
Second Line	:
City	:	SMITH CENTER
State	:	KS
Zip	:	66967-9582
Country	:	US
Telephone Number	:	785-282-6924
Fax Number	:	785-282-6564

Provider Business Practice Location Address
First Line	:	914 E HWY 36
Second Line	:
City	:	SMITH CENTER
State	:	KS
Zip	:	66967
Country	:	US
Telephone Number	:	785-282-6924
Fax Number	:	785-282-6564

Authorized Official
Title or Position	:	EMS DIRECTOR
Name	:	KEITH LYNN WANGERIN
Credential	:	PARAMEDIC
Telephone Number	:	785-282-6924

Provider Enumeration Date	:	04/30/2007
Last Update Date	:	03/16/2026

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Directions to “SMITH COUNTY COURTHOUSE ” Practice Location

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