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NPI Code Detail

MEDICARE: COUNTY OF WOODSON

MEDICARE: COUNTY OF WOODSON
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
13416L0300XLand Ambulance2110KS

General Provider Information

NPI Number : 1104823103
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF WOODSON
Provider Business Mailing Address
First Line : 114 N MAIN ST
Second Line :
City : YATES CENTER
State : KS
Zip : 66783-1422
Country : US
Telephone Number : 620-625-8660
Fax Number : 620-625-8662
Provider Business Practice Location Address
First Line : 114 N MAIN ST
Second Line :
City : YATES CENTER
State : KS
Zip : 66783-1422
Country : US
Telephone Number : 620-625-8660
Fax Number : 620-625-8662
Authorized Official
Title or Position : SERVICE DIRECTOR
Name : MR. TOMMY R STEWART
Credential :
Telephone Number : 620-625-8660
Provider Enumeration Date : 07/05/2005
Last Update Date : 06/30/2016

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Directions to “COUNTY OF WOODSON ” Practice Location

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