Organization
GRANT COUNTY MEDICAL EQUIPMENT,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIGITTE MARTINEZ (MANAGER)
(620) 272-2660
Entity
Organization
Contact information
Practice address
213 N MAIN ST, ULYSSES, KS 67880-2130
(620) 356-1373
(620) 356-1474
Mailing address
601 N MAIN ST STE B, GARDEN CITY, KS 67846-5468
(620) 272-2660
(620) 272-2259
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
16-00101
KS
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118174
BLUECROSS BLUESHIELD
KS
05
—
200300690A
—
KS
01
—
926718
FIRST GUARD HEALTH PLAN
KS
Enumeration date
12/08/2005
Last updated
11/09/2023
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