Provider Demographics
NPI:1619955101
Name:COUNTY OF TREGO
Entity Type:Organization
Organization Name:COUNTY OF TREGO
Other - Org Name:TREGO COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:YARMER
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:785-743-2926
Mailing Address - Street 1:525 WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:WAKEENEY
Mailing Address - State:KS
Mailing Address - Zip Code:67672-1809
Mailing Address - Country:US
Mailing Address - Phone:785-743-2926
Mailing Address - Fax:785-743-2917
Practice Address - Street 1:525 WARREN AVE
Practice Address - Street 2:
Practice Address - City:WAKEENEY
Practice Address - State:KS
Practice Address - Zip Code:67672-1809
Practice Address - Country:US
Practice Address - Phone:785-743-2926
Practice Address - Fax:785-743-2917
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF TREGO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-04
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS19753416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS119993OtherBCBS
KS100272910AMedicaid
KS119993OtherBCBS