Healthcare Provider Details

I. General information

NPI: 1356186027
Provider Name (Legal Business Name): COUNTY OF LANE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 W LONG
DIGHTON KS
67839
US

IV. Provider business mailing address

PO BOX 606
DIGHTON KS
67839-0606
US

V. Phone/Fax

Practice location:
  • Phone: 620-397-2501
  • Fax:
Mailing address:
  • Phone: 620-397-2501
  • Fax: 620-397-7515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: CINDY LANDGRAF
Title or Position: EMS DIRECTOR
Credential:
Phone: 620-397-2501