Organization
COUNTY OF GRANT
Active
Other names
Grant County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JERRY JO DECKERT EMT-ID (GRANT CO EMS DIRECTOR)
(620) 356-3400
Entity
Organization
Contact information
Practice address
320 E OKLAHOMA AVE, ULYSSES, KS 67880-0514
(620) 356-3400
(620) 356-4512
Mailing address
PO BOX 514, ULYSSES, KS 67880-0514
(620) 356-3400
(620) 356-4512
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
680
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092030A
—
KS
01
—
112013
BCBS
KS
01
—
1521952
UNITED MINE WORKERS
—
01
—
590496169
RAILROAD MEDICARE
—
Enumeration date
03/14/2006
Last updated
02/01/2012
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