Provider Demographics
NPI:1669130308
Name:COUNTY OF PAWNEE
Entity type:Organization
Organization Name:COUNTY OF PAWNEE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SERVICE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC, RN
Authorized Official - Phone:620-285-8505
Mailing Address - Street 1:123 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:LARNED
Mailing Address - State:KS
Mailing Address - Zip Code:67550-2510
Mailing Address - Country:US
Mailing Address - Phone:620-285-8505
Mailing Address - Fax:
Practice Address - Street 1:123 W 9TH ST
Practice Address - Street 2:
Practice Address - City:LARNED
Practice Address - State:KS
Practice Address - Zip Code:67550-2510
Practice Address - Country:US
Practice Address - Phone:620-285-8505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF PAWNEE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance