# COUNTY OF GRANT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grant County EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669441523
- **Authorized official:** MS. JERRY JO DECKERT EMT-ID (GRANT CO EMS DIRECTOR)
- **Authorized official phone:** (620) 356-3400

## Contact information

- **Practice address:** 320 E OKLAHOMA AVE, ULYSSES, KS 67880-0514
- **Practice address phone:** (620) 356-3400
- **Practice address fax:** (620) 356-4512
- **Mailing address:** PO BOX 514, ULYSSES, KS 67880-0514
- **Mailing address phone:** (620) 356-3400
- **Mailing address fax:** (620) 356-4512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 680 | KS | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 02/01/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100092030A | — | KS |
| 01 | — | 112013 | BCBS | KS |
| 01 | — | 1521952 | UNITED MINE WORKERS | — |
| 01 | — | 590496169 | RAILROAD MEDICARE | — |