Provider Demographics
NPI:1467401851
Name:COUNTY OF HARPER
Entity Type:Organization
Organization Name:COUNTY OF HARPER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOREG
Authorized Official - Suffix:
Authorized Official - Credentials:MICT
Authorized Official - Phone:620-842-3506
Mailing Address - Street 1:123 N JENNINGS AVE
Mailing Address - Street 2:PO BOX 251
Mailing Address - City:ANTHONY
Mailing Address - State:KS
Mailing Address - Zip Code:67003-2708
Mailing Address - Country:US
Mailing Address - Phone:620-842-3506
Mailing Address - Fax:620-842-3309
Practice Address - Street 1:123 N JENNINGS AVE
Practice Address - Street 2:
Practice Address - City:ANTHONY
Practice Address - State:KS
Practice Address - Zip Code:67003-2708
Practice Address - Country:US
Practice Address - Phone:620-842-3506
Practice Address - Fax:620-842-3309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9-013163416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS019028OtherBLUE CROSS
KS590007680OtherRAILROAD MEDICARE
KS100243560-AMedicaid
KS100243560-AMedicaid
KS019028Medicare PIN