Provider Demographics
NPI:1063457851
Name:CITY OF GREAT BEND
Entity Type:Organization
Organization Name:CITY OF GREAT BEND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF/EMS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:NAPOLITANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-793-4140
Mailing Address - Street 1:1205 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:GREAT BEND
Mailing Address - State:KS
Mailing Address - Zip Code:67530-4446
Mailing Address - Country:US
Mailing Address - Phone:620-793-4140
Mailing Address - Fax:620-793-4146
Practice Address - Street 1:1205 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:GREAT BEND
Practice Address - State:KS
Practice Address - Zip Code:67530-4446
Practice Address - Country:US
Practice Address - Phone:620-793-4140
Practice Address - Fax:620-793-4146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS7003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100242840AMedicaid
KS590496009OtherRAILROAD MEDICARE/PALMETT
KS1831137249Medicare UPIN
KS005677Medicare PIN