Provider Demographics
NPI:1477657864
Name:COUNTY OF RAWLINS
Entity Type:Organization
Organization Name:COUNTY OF RAWLINS
Other - Org Name:RAWLINS COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNTY COMMISSIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-626-3351
Mailing Address - Street 1:P.O. BOX 183
Mailing Address - Street 2:
Mailing Address - City:ATWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:67730
Mailing Address - Country:US
Mailing Address - Phone:785-626-8052
Mailing Address - Fax:785-626-9486
Practice Address - Street 1:95 MAIN STREET
Practice Address - Street 2:
Practice Address - City:ATWOOD
Practice Address - State:KS
Practice Address - Zip Code:67730
Practice Address - Country:US
Practice Address - Phone:785-626-8052
Practice Address - Fax:785-626-9486
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF RAWLINS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-07
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1600341600000X
KS1600341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100091430CMedicaid
KS=========OtherCOMMERCIAL INS. NUMBER
KS100091430CMedicaid