Provider Demographics
NPI:1659485563
Name:CITY OF LENEXA
Entity Type:Organization
Organization Name:CITY OF LENEXA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIVISION CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:LONNY
Authorized Official - Middle Name:W
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-477-7921
Mailing Address - Street 1:9620 PFLUMM RD
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-1204
Mailing Address - Country:US
Mailing Address - Phone:913-477-7921
Mailing Address - Fax:
Practice Address - Street 1:9620 PFLUMM RD
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-1204
Practice Address - Country:US
Practice Address - Phone:913-477-7921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100641280AMedicaid
KS100641280AMedicaid
KS590008847Medicare PIN