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General NPI Number Information
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NPI Number | 1669570222
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Entity Type | Organization
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Legal Business Name | JOHNSON COUNTY RURAL HEALTH CARE DISTRICT
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 351 N ADAMS AVE
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City | BUFFALO
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State | WY
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Zip | 82834-1782
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Country | US
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Telephone | 307-684-2251
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Fax | 307-684-7107
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Provider Business Mailing Address
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Address Line | PO BOX 1240 351 N ADAMS AVE
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City | BUFFALO
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State | WY
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Zip | 82834
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Country | US
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Telephone | 307-461-2165
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Fax | 307-460-7553
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRITNI CAMINO
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Credential |
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Telephone | 307-684-2251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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