MEDICARE: LEE COUNTY INDEPENDENCE

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
1	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1518651207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEE COUNTY INDEPENDENCE

Provider Business Mailing Address
First Line	:	4500 BOB BILLINGS PKWY STE 109
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-3903
Country	:	US
Telephone Number	:	785-766-0871
Fax Number	:

Provider Business Practice Location Address
First Line	:	2014 W POINT RD
Second Line	:
City	:	WEST POINT
State	:	IA
Zip	:	52656-9344
Country	:	US
Telephone Number	:	785-766-0871
Fax Number	:

Authorized Official
Title or Position	:	PREIDENT
Name	:	STEPHEN A MENKE
Credential	:
Telephone Number	:	785-766-0871

Provider Enumeration Date	:	06/06/2023
Last Update Date	:	06/06/2023

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Directions to “LEE COUNTY INDEPENDENCE ” Practice Location

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