Provider Demographics
NPI:1154746634
Name:ACHIEVEMENT SERVICES FOR NORTHEAST KANSAS, INC.
Entity type:Organization
Organization Name:ACHIEVEMENT SERVICES FOR NORTHEAST KANSAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-367-2432
Mailing Address - Street 1:PO BOX 186
Mailing Address - Street 2:
Mailing Address - City:ATCHISON
Mailing Address - State:KS
Mailing Address - Zip Code:66002-0186
Mailing Address - Country:US
Mailing Address - Phone:913-367-2432
Mailing Address - Fax:913-367-0370
Practice Address - Street 1:215 N 5TH ST
Practice Address - Street 2:
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002-2412
Practice Address - Country:US
Practice Address - Phone:913-367-2432
Practice Address - Fax:913-367-0370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)