Provider Demographics
NPI:1679789135
Name:COUNTY OF BARBER
Entity Type:Organization
Organization Name:COUNTY OF BARBER
Other - Org Name:BARBER COUNTY AMBULANCE
Other - Org Type:Other Name
Authorized Official - Title/Position:INSURANCE BILLING
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:S
Authorized Official - Last Name:CANTRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-825-4131
Mailing Address - Street 1:810 DRUMM ST
Mailing Address - Street 2:
Mailing Address - City:KIOWA
Mailing Address - State:KS
Mailing Address - Zip Code:67070-1626
Mailing Address - Country:US
Mailing Address - Phone:620-825-4131
Mailing Address - Fax:620-825-4667
Practice Address - Street 1:810 DRUMM ST
Practice Address - Street 2:
Practice Address - City:KIOWA
Practice Address - State:KS
Practice Address - Zip Code:67070-1626
Practice Address - Country:US
Practice Address - Phone:620-825-4131
Practice Address - Fax:620-825-4667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSSERVICE 1303416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS130664Medicare ID - Type Unspecified