Healthcare Provider Details

I. General information

NPI: 1295866176
Provider Name (Legal Business Name): COUNTY OF CHASE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S WALNUT
COTTONWOOD FALLS KS
66845
US

IV. Provider business mailing address

PO BOX 568
COTTONWOOD FALLS KS
66845-0568
US

V. Phone/Fax

Practice location:
  • Phone: 620-273-6590
  • Fax: 620-273-6591
Mailing address:
  • Phone: 620-273-6590
  • Fax: 620-273-6591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number280
License Number StateKS

VIII. Authorized Official

Name: MR. ROBERT LOUIS BURRIGHT
Title or Position: SERVICE DIRECTOR
Credential:
Phone: 620-273-6590