Organization
COUNTY OF STAFFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAYTON E. GRIMMETT (SF CO COMMISSION CHAIRMAN)
(620) 549-3509
Entity
Organization
Contact information
Practice address
636 E. 4TH, ST. JOHN, KS 67576
(620) 549-3765
Mailing address
636 E. 4TH, ST. JOHN, KS 67576
(620) 549-3765
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
1855
KS
Other
Enumeration date
06/13/2005
Last updated
09/16/2009
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