Provider Demographics
NPI:1316911993
Name:COUNTY OF LANE
Entity type:Organization
Organization Name:COUNTY OF LANE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LANE COUNTY EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MCDOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-397-2501
Mailing Address - Street 1:PO BOX 606
Mailing Address - Street 2:444 WEST LONG
Mailing Address - City:DIGHTON
Mailing Address - State:KS
Mailing Address - Zip Code:67839-0606
Mailing Address - Country:US
Mailing Address - Phone:620-397-2501
Mailing Address - Fax:620-397-7575
Practice Address - Street 1:444 WEST LONG
Practice Address - Street 2:
Practice Address - City:DIGHTON
Practice Address - State:KS
Practice Address - Zip Code:67839-0606
Practice Address - Country:US
Practice Address - Phone:620-397-2501
Practice Address - Fax:620-397-7575
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTRY OF LANE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-02-13
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9803416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS112024OtherBLUECROSS/BLUESHIELD
KS005504OtherMEDICARE PROVIDER
KS8025504701Medicaid