MEDICARE: COUNTY OF MARION

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	1160	KS

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	:	1609878925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF MARION

Provider Business Mailing Address
First Line	:	202 S 3RD ST
Second Line	:	SUITE B
City	:	MARION
State	:	KS
Zip	:	66861-1659
Country	:	US
Telephone Number	:	620-382-3271
Fax Number	:	620-382-3861

Provider Business Practice Location Address
First Line	:	202 S 3RD ST
Second Line	:	SUITE B
City	:	MARION
State	:	KS
Zip	:	66861-1659
Country	:	US
Telephone Number	:	620-382-3271
Fax Number	:	620-382-3861

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. CURTIS HASART
Credential	:	PARAMEDIC
Telephone Number	:	620-382-3271

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	12/07/2022

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Directions to “COUNTY OF MARION ” Practice Location

Language	Start Address	Practice Location

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