Provider Demographics
NPI:1225258460
Name:SMITH COUNTY COURTHOUSE
Entity Type:Organization
Organization Name:SMITH COUNTY COURTHOUSE
Other - Org Name:SMITH COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:EASTES
Authorized Official - Suffix:
Authorized Official - Credentials:RN PARAMEDIC
Authorized Official - Phone:785-282-6924
Mailing Address - Street 1:914 E HIGHWAY 36
Mailing Address - Street 2:
Mailing Address - City:SMITH CENTER
Mailing Address - State:KS
Mailing Address - Zip Code:66967-9582
Mailing Address - Country:US
Mailing Address - Phone:785-282-6924
Mailing Address - Fax:785-282-6564
Practice Address - Street 1:914 E HWY 36
Practice Address - Street 2:
Practice Address - City:SMITH CENTER
Practice Address - State:KS
Practice Address - Zip Code:66967
Practice Address - Country:US
Practice Address - Phone:785-282-6924
Practice Address - Fax:785-282-6564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-30
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100010030AMedicaid
KS100010030AMedicaid