Provider Demographics
NPI:1215033113
Name:CITY OF HALSTEAD
Entity Type:Organization
Organization Name:CITY OF HALSTEAD
Other - Org Name:CITY OF HALSTEAD EMERGENCY MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CITY ADMINISTRATOR CITY OF HALSTEAD
Authorized Official - Prefix:MR
Authorized Official - First Name:J
Authorized Official - Middle Name:R
Authorized Official - Last Name:HATFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-835-3381
Mailing Address - Street 1:303 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HALSTEAD
Mailing Address - State:KS
Mailing Address - Zip Code:67056-0312
Mailing Address - Country:US
Mailing Address - Phone:316-835-2605
Mailing Address - Fax:316-835-2377
Practice Address - Street 1:303 MAIN ST
Practice Address - Street 2:
Practice Address - City:HALSTEAD
Practice Address - State:KS
Practice Address - Zip Code:67056-0312
Practice Address - Country:US
Practice Address - Phone:316-835-2605
Practice Address - Fax:316-835-2377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100242820AMedicaid