Provider Demographics
NPI:1982636387
Name:COUNTY OF NORTON
Entity Type:Organization
Organization Name:COUNTY OF NORTON
Other - Org Name:NORTON COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:WYATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-877-5784
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:KS
Mailing Address - Zip Code:67654-0070
Mailing Address - Country:US
Mailing Address - Phone:785-874-4313
Mailing Address - Fax:785-874-4428
Practice Address - Street 1:11822 ROAD W1
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:KS
Practice Address - Zip Code:67654-5703
Practice Address - Country:US
Practice Address - Phone:785-874-4313
Practice Address - Fax:785-874-4428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1450146N00000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty
No3416L0300XTransportation ServicesAmbulanceLand TransportGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100089220CMedicaid
KS05202Medicare PIN