Provider Demographics
NPI:1871511527
Name:POS-T-VAC INC
Entity Type:Organization
Organization Name:POS-T-VAC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACT SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SLOVACEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-227-7434
Mailing Address - Street 1:500 PARK ST
Mailing Address - Street 2:
Mailing Address - City:DODGE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67801-5409
Mailing Address - Country:US
Mailing Address - Phone:800-279-7434
Mailing Address - Fax:620-227-8474
Practice Address - Street 1:500 PARK ST
Practice Address - Street 2:
Practice Address - City:DODGE CITY
Practice Address - State:KS
Practice Address - Zip Code:67801-5409
Practice Address - Country:US
Practice Address - Phone:800-279-8474
Practice Address - Fax:620-227-8474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS004719OtherBCBS
KS200335850AMedicaid
KS004719OtherBCBS