Healthcare Provider Details

I. General information

NPI: 1982636387
Provider Name (Legal Business Name): COUNTY OF NORTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 02/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11822 ROAD W1
NORTON KS
67654-5703
US

IV. Provider business mailing address

PO BOX 70
NORTON KS
67654-0070
US

V. Phone/Fax

Practice location:
  • Phone: 785-874-4313
  • Fax: 785-874-4428
Mailing address:
  • Phone: 785-874-4313
  • Fax: 785-874-4428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1450
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number1450
License Number StateKS

VIII. Authorized Official

Name: MS. JANE WYATT
Title or Position: DIRECTOR
Credential:
Phone: 785-877-5784