Provider Demographics
NPI:1447795778
Name:COUNTY OF ATCHISON
Entity Type:Organization
Organization Name:COUNTY OF ATCHISON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT/PARAMEDIC
Authorized Official - Prefix:MS
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ACKMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-804-6155
Mailing Address - Street 1:10443 US HIGHWAY 59
Mailing Address - Street 2:
Mailing Address - City:ATCHISON
Mailing Address - State:KS
Mailing Address - Zip Code:66002-9297
Mailing Address - Country:US
Mailing Address - Phone:913-804-6155
Mailing Address - Fax:
Practice Address - Street 1:10443 US HIGHWAY 59
Practice Address - Street 2:
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002-9297
Practice Address - Country:US
Practice Address - Phone:913-804-6155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-22
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1053416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport