Provider Demographics
NPI:1295488427
Name:COUNTY OF CHASE
Entity type:Organization
Organization Name:COUNTY OF CHASE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TORI
Authorized Official - Middle Name:K
Authorized Official - Last Name:OTZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-882-7520
Mailing Address - Street 1:PO BOX 1299
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL
Mailing Address - State:NE
Mailing Address - Zip Code:69033-1299
Mailing Address - Country:US
Mailing Address - Phone:308-882-7520
Mailing Address - Fax:308-882-7565
Practice Address - Street 1:921 BROADWAY
Practice Address - Street 2:
Practice Address - City:IMPERIAL
Practice Address - State:NE
Practice Address - Zip Code:69033-3012
Practice Address - Country:US
Practice Address - Phone:308-882-7520
Practice Address - Fax:308-882-7565
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHASE COUNTY TRANSIT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-28
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)