Provider Demographics
NPI:1700852910
Name:MEADE COUNTY
Entity Type:Organization
Organization Name:MEADE COUNTY
Other - Org Name:MEADE COUNTY EMERGENCY MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MICT
Authorized Official - Phone:620-873-2280
Mailing Address - Street 1:PO BOX 1136
Mailing Address - Street 2:
Mailing Address - City:MEADE
Mailing Address - State:KS
Mailing Address - Zip Code:67864-1136
Mailing Address - Country:US
Mailing Address - Phone:620-873-2280
Mailing Address - Fax:620-873-5430
Practice Address - Street 1:725 W. CARTHAGE
Practice Address - Street 2:
Practice Address - City:MEADE
Practice Address - State:KS
Practice Address - Zip Code:67864-1136
Practice Address - Country:US
Practice Address - Phone:620-873-2280
Practice Address - Fax:620-873-5430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-27
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1210341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100117560BMedicaid
KS590003284OtherRAIL ROAD MEDICARE
KS100117560BMedicaid