Provider Demographics
NPI:1043527575
Name:HASKELL COUNTY
Entity Type:Organization
Organization Name:HASKELL COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:DIANNE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-675-2485
Mailing Address - Street 1:PO BOX 980
Mailing Address - Street 2:
Mailing Address - City:SUBLETTE
Mailing Address - State:KS
Mailing Address - Zip Code:67877-0980
Mailing Address - Country:US
Mailing Address - Phone:620-675-2485
Mailing Address - Fax:620-675-8487
Practice Address - Street 1:700 W LA LANDE AVE
Practice Address - Street 2:
Practice Address - City:SUBLETTE
Practice Address - State:KS
Practice Address - Zip Code:67877-8120
Practice Address - Country:US
Practice Address - Phone:620-675-2485
Practice Address - Fax:620-675-8487
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HASKELL COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-03
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS775341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance