Provider Demographics
NPI:1588702849
Name:COUNTY OF FINNEY
Entity type:Organization
Organization Name:COUNTY OF FINNEY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SERVICE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SKYLAR
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:SWORDS
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:620-272-3822
Mailing Address - Street 1:311 N 9TH ST
Mailing Address - Street 2:BOX M
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-5312
Mailing Address - Country:US
Mailing Address - Phone:620-272-3530
Mailing Address - Fax:620-272-3582
Practice Address - Street 1:803 W MARY ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-2747
Practice Address - Country:US
Practice Address - Phone:620-272-3822
Practice Address - Fax:620-272-3830
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF FINNEY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-01
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS0233416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS30003940390005Medicaid
KS100097870BMedicaid