Provider Demographics
NPI:1437298650
Name:MOUNT HOPE COMMUNITY AMBULANCE SERVICE, INC
Entity Type:Organization
Organization Name:MOUNT HOPE COMMUNITY AMBULANCE SERVICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBULANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCURRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-667-2311
Mailing Address - Street 1:PO BOX 424
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOPE
Mailing Address - State:KS
Mailing Address - Zip Code:67108-0424
Mailing Address - Country:US
Mailing Address - Phone:316-667-2511
Mailing Address - Fax:
Practice Address - Street 1:124 EAST MAIN
Practice Address - Street 2:
Practice Address - City:MOUNT HOPE
Practice Address - State:KS
Practice Address - Zip Code:67108-0424
Practice Address - Country:US
Practice Address - Phone:316-667-2511
Practice Address - Fax:316-661-2147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS=========OtherTAX ID
KS=========OtherTAX ID