Organization
JEFFERSON COUNTY SERVICE ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L LUCK (EXECUTIVE DIRECTOR)
(785) 863-2637
Entity
Organization
Contact information
Practice address
612 DELAWARE, OSKALOOSA, KS 66066-0212
(785) 863-2637
(785) 863-3064
Mailing address
P.O. BOX 212, 610 DELAWARE, OSKALOOSA, KS 66066-0212
(785) 863-2637
(785) 863-3064
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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