Organization
TOWN AND COUNTRY EMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KOERPERICH EMT-P (MEMBER)
(785) 741-0612
Entity
Organization
Contact information
Practice address
824 OREGON ST, SUITE C, HIAWATHA, KS 66434-2293
(785) 741-0612
Mailing address
PO BOX 296, 1597 NIGHTHAWK RD, HIAWATHA, KS 66434-0296
(785) 741-0612
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
KS
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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