Provider Demographics
NPI:1831780881
Name:UNIFIED GOVERNMENT OF WYANDOTTE COUNTY KANSAS CITY KANSAS
Entity type:Organization
Organization Name:UNIFIED GOVERNMENT OF WYANDOTTE COUNTY KANSAS CITY KANSAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR TRANSPORTATION DEPARTMENT
Authorized Official - Prefix:
Authorized Official - First Name:JUSTUS
Authorized Official - Middle Name:
Authorized Official - Last Name:WELKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-573-6798
Mailing Address - Street 1:5033 STATE AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-3491
Mailing Address - Country:US
Mailing Address - Phone:913-573-6798
Mailing Address - Fax:
Practice Address - Street 1:5033 STATE AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-3491
Practice Address - Country:US
Practice Address - Phone:913-573-6798
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIFIED GOVERNMENT OF WYANDOTTE COUNTY/KANSAS CITY, KANSAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347B00000XTransportation ServicesBus