Provider Demographics
NPI:1306892799
Name:COUNTY OF BARBER
Entity type:Organization
Organization Name:COUNTY OF BARBER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOREG
Authorized Official - Suffix:
Authorized Official - Credentials:PARMEDIC
Authorized Official - Phone:620-825-4910
Mailing Address - Street 1:740 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KIOWA
Mailing Address - State:KS
Mailing Address - Zip Code:67070-1416
Mailing Address - Country:US
Mailing Address - Phone:620-930-0108
Mailing Address - Fax:620-825-4411
Practice Address - Street 1:740 MAIN ST
Practice Address - Street 2:
Practice Address - City:KIOWA
Practice Address - State:KS
Practice Address - Zip Code:67070-1416
Practice Address - Country:US
Practice Address - Phone:620-930-0108
Practice Address - Fax:620-825-4112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS130146M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, IntermediateGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS130664Medicare PIN